Poola Shiva, Laks Shachar, Kragel Peter, Regan Kara
Department of Internal Medicine/Pediatrics, Vidant Medical Center/Brody School of Medicine, Greenville, North Carolina.
Deparment of Surgery, Vidant Medical Center/Brody School of Medicine, Greenville, North Carolina.
Surg J (N Y). 2020 Jun 16;6(2):e128-e130. doi: 10.1055/s-0040-1710342. eCollection 2020 Apr.
Incidentally discovered pancreatic cysts have become more common with increasing use of abdominal cross-sectional imaging. Tools that help us to better risk stratify a pancreatic cyst include advanced imaging techniques, such as pancreatic protocol computed tomography (CT) scan or magnetic resonance imaging (MRI) with cholangiopancreatography. Endoscopic ultrasound (EUS) and fine-needle aspiration (FNA) are invasive measures to better define and sample cysts especially if high-risk features are present. EUS may also yield pancreatic cyst fluid for analysis of carcinoembryonic antigen (CEA) which is elevated in mucinous cysts. This case highlights a rare finding of a mucinous, epidermoid cyst in an intrapancreatic accessory spleen (IPAS) with high-risk features on EUS.
随着腹部横断面成像技术的使用日益增加，偶然发现的胰腺囊肿变得更加常见。有助于我们更好地对胰腺囊肿进行风险分层的工具包括先进的成像技术，如胰腺协议计算机断层扫描（CT）或磁共振成像（MRI）胰胆管造影。内镜超声（EUS）和细针穿刺抽吸（FNA）是侵入性措施，用于更好地明确囊肿并获取样本，特别是在存在高风险特征的情况下。EUS还可以获取胰腺囊肿液以分析癌胚抗原（CEA），其在黏液性囊肿中升高。本病例突出显示了在胰腺内副脾（IPAS）中罕见的黏液性表皮样囊肿，在EUS上具有高风险特征。
