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Lymphoepithelial cyst of the pancreas: case report with special reference to imaging--pathologic correlation

R Shinmura1, T Gabata, O Matsui

  • 1Department of Radiology, Graduate School of Medicine, University of Kanazawa, 13-1 Takara-machi Kanazawa-Shi, Ishikawa-Ken, 920-8641, Japan. rieko@rad.m.kanazawa-u.ac.jp

Abdominal Imaging
|November 30, 2005
PubMed

Insights

This study details a resected pancreatic lymphoepithelial cyst. Key imaging findings like multilocular cysts and internal keratin aided differential diagnosis from other pancreatic cystic lesions.

Area of Science:

  • Gastroenterology
  • Radiology
  • Pathology

Background:

  • Pancreatic cystic lesions present a diagnostic challenge.
  • Accurate differentiation is crucial for appropriate management.

Observation:

  • A case of a resected pancreatic lymphoepithelial cyst is presented.
  • Imaging characteristics were correlated with pathologic findings.

Findings:

  • Ultrasound revealed a multilocular cystic lesion with heterogeneous hyperechogenicity.
  • Precontrast CT demonstrated hyperdensity.
  • T2-weighted MRI showed granular hypointensity, attributed to keratin content.

Implications:

  • Specific imaging findings are crucial for the differential diagnosis of pancreatic cystic lesions.
  • Accurate pre-operative imaging can guide management and differentiate lymphoepithelial cysts from other cystic neoplasms.

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