Rumble William T, Martin Priscilla
Department of General Surgery, Sunshine Coast University Hospital, Birtinya, 4575 Sunshine Coast, Australia.
J Surg Case Rep. 2025 Mar 20;2025(3):rjaf186. doi: 10.1093/jscr/rjaf186. eCollection 2025 Mar.
Lymphoepithelial cysts (LECs) of the pancreas are rare, benign lesions often discovered incidentally during imaging for unrelated conditions. Their radiological features frequently overlap with those of other more common pancreatic cystic lesions, presenting a diagnostic challenge. In this report from a general surgical department on the Australia, we detail the assessment and management of a 54-year-old male with an enlarging pancreatic tail lesion initially thought to be a mucinous cystic neoplasm. Laparoscopic distal pancreatectomy and splenectomy was performed, and subsequent histopathological evaluation confirmed a benign LEC. This report reviews the literature base, clinical presentation, radiological findings, surgical approach, and pathological diagnosis of this rare condition. We emphasize the importance of a tailored approach to management and the role of surgery in definitive treatment.
胰腺淋巴上皮囊肿（LEC）较为罕见，是一种良性病变，常在因其他无关病症进行影像学检查时偶然发现。其放射学特征常与其他更常见的胰腺囊性病变重叠，给诊断带来挑战。在这份来自澳大利亚某普通外科的报告中，我们详细介绍了一名54岁男性的评估与治疗过程，该患者胰腺尾部病变不断增大，最初被认为是黏液性囊性肿瘤。实施了腹腔镜下远端胰腺切除术和脾切除术，随后的组织病理学评估证实为良性LEC。本报告回顾了该罕见病症的文献依据、临床表现、放射学检查结果、手术方式及病理诊断。我们强调了个性化治疗方法的重要性以及手术在确定性治疗中的作用。
