A Rare Case of Pancreatic Endometrial Cyst and Review of the Literature

Pancreatic cysts include a variety of benign, premalignant, and malignant lesions. Endometrial cysts in the pancreas are extremely rare lesions that are difficult to diagnose before surgery. We report the case of a 26-year-old patient with a recent episode of left abdominal pain who presented with a...

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Veröffentlicht in:Internal Medicine 2019/04/15, Vol.58(8), pp.1097-1101
Hauptverfasser: Yamamoto, Ryuichi, Konagaya, Kensuke, Iijima, Hirokazu, Kashiwagi, Hiroyuki, Hashimoto, Masanori, Shindo, Asumi, Sasaki, Yuki, Yamamoto, Kota, Nakagawa, Masashi, Suno, Yuma, Abe, Toshiyuki, Takaki, Mutsuo, Suda, Koichi, Watanabe, Kazuomi
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container_end_page 1101
container_issue 8
container_start_page 1097
container_title Internal Medicine
container_volume 58
creator Yamamoto, Ryuichi
Konagaya, Kensuke
Iijima, Hirokazu
Kashiwagi, Hiroyuki
Hashimoto, Masanori
Shindo, Asumi
Sasaki, Yuki
Yamamoto, Kota
Nakagawa, Masashi
Suno, Yuma
Abe, Toshiyuki
Takaki, Mutsuo
Suda, Koichi
Watanabe, Kazuomi
description Pancreatic cysts include a variety of benign, premalignant, and malignant lesions. Endometrial cysts in the pancreas are extremely rare lesions that are difficult to diagnose before surgery. We report the case of a 26-year-old patient with a recent episode of left abdominal pain who presented with a large cyst in the pancreatic body. Laboratory results showed white blood cell and C-reactive protein elevation, whereas the patient's tumor marker levels were within the normal range. Distal pancreatectomy with splenectomy was performed. The final histopathological examination confirmed the presence of endometriotic cysts within the pancreas. Only 13 cases of endometriotic cysts of the pancreas have been previously reported. The preoperative diagnosis is challenging, and most patients undergo pancreatic resection because of suspected neoplasms. This case report reviews previous studies and discusses the clinicopathological features, pathogenesis, and appropriate treatment for pancreatic endometrial cysts.
doi_str_mv 10.2169/internalmedicine.1702-18
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source PubMed Central Open Access; J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese; PubMed Central
subjects C-reactive protein
Case Report
Cysts
endometrial cyst
Endometrium
Internal medicine
Lesions
Literature reviews
Pain
Pancreas
Patients
Splenectomy
Surgery
Tumor markers
title A Rare Case of Pancreatic Endometrial Cyst and Review of the Literature
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