Toumi Zaher, Ammori Mohannad B, Al-Habba Samer, Filobbos Rafik, Ammori Basil J
Department of Hepato-Pancreato-Biliary Surgery, North Manchester General Hospital, Manchester, UK.
Surg Laparosc Endosc Percutan Tech. 2010 Dec;20(6):e211-4. doi: 10.1097/SLE.0b013e3181fec893.
Lymphoepithelial cysts (LECs) of the pancreas are rare true pancreatic cysts. Their cause is not known. The differential diagnosis is broad and includes many benign and malignant cystic lesions of the pancreas and surrounding organs. A combination of imaging modalities and fine needle aspiration might narrow the differential diagnosis. However, the final diagnosis can only be achieved with certainty after resection of the cyst. In this study, we report the largest LEC of the pancreas to have been resected laparoscopically. A 43-year-old man presented with upper abdominal pain, a 7.5 cm mutlioculated cystic mass in the pancreatic body and tail on imaging, and a raised serum cancer antigen-19-9. Laparoscopic distal pancreatectomy and splenectomy was performed. Histologic examination revealed a LEC. This study discusses the diagnostic difficulties and management decisions which face surgeons treating pancreatic cysts.
胰腺淋巴上皮囊肿（LEC）是罕见的真性胰腺囊肿。其病因不明。鉴别诊断范围广泛，包括胰腺及周围器官的许多良性和恶性囊性病变。多种影像学检查和细针穿刺相结合可能会缩小鉴别诊断范围。然而，只有在囊肿切除术后才能确定最终诊断。在本研究中，我们报告了最大的一例经腹腔镜切除的胰腺LEC。一名43岁男性因上腹部疼痛就诊，影像学检查显示胰体尾有一个7.5 cm的多房性囊性肿块，血清癌抗原19-9升高。行腹腔镜远端胰腺切除术和脾切除术。组织学检查显示为LEC。本研究讨论了治疗胰腺囊肿的外科医生所面临的诊断困难和治疗决策。
