Matrone Alessia, Russo Maria, Mollica Carmine, Lombardi Domenico, Lombardi Guido, Maurea Simone, Imbriaco Massimo
Department of Radiology, University Federico II, Naples, Italy.
JOP. 2010 Mar 5;11(2):170-2.
Lymphoepithelial cyst of the pancreas is a rare benign lesion which often presents as an incidental radiological finding, but may cause symptoms, such as abdominal pain and nausea. It can occur at any location in the pancreas. The differential diagnosis includes primary splenic cysts, pseudocysts, mucinous cystic neoplasms of the pancreas, left adrenal cysts, duplication cysts and retroperitoneal cysts. Some of these diagnoses can be excluded by MRI; however, for the final diagnosis, fine needle aspiration or surgical resection may be necessary.
We report a rare case of a pancreatic lymphoepithelial cyst in an asymptomatic 63-year-old man, discovered in a clinical follow-up for colon cancer. In particular, we describe the unique "cheerios-like" appearance of the lesion which has never before been reported.
This particular finding could help in the differential diagnosis of this benign lesion from other pancreatic masses.
胰腺淋巴上皮囊肿是一种罕见的良性病变，常作为偶然的影像学检查发现，但也可能引起腹痛、恶心等症状。它可发生于胰腺的任何部位。鉴别诊断包括原发性脾囊肿、假性囊肿、胰腺黏液性囊性肿瘤、左肾上腺囊肿、重复囊肿和腹膜后囊肿。其中一些诊断可通过磁共振成像（MRI）排除；然而，对于最终诊断，可能需要细针穿刺或手术切除。
我们报告一例罕见的胰腺淋巴上皮囊肿病例，患者为一名63岁无症状男性，在结肠癌临床随访中发现。特别地，我们描述了该病变独特的“麦片圈样”外观，此前从未有过报道。
这一特殊发现有助于将这种良性病变与其他胰腺肿块进行鉴别诊断。
