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 |
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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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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.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.1702-18</identifier><identifier>PMID: 30568111</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>C-reactive protein ; Case Report ; Cysts ; endometrial cyst ; Endometrium ; Internal medicine ; Lesions ; Literature reviews ; Pain ; Pancreas ; Patients ; Splenectomy ; Surgery ; Tumor markers</subject><ispartof>Internal Medicine, 2019/04/15, Vol.58(8), pp.1097-1101</ispartof><rights>2019 by The Japanese Society of Internal Medicine</rights><rights>Copyright Japan Science and Technology Agency 2019</rights><rights>Copyright © 2019 by The Japanese Society of Internal Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c666t-252698f1068250db1911ee0ee8ec57bedc58173fc100b3d52597f3c66958f6e03</citedby><cites>FETCH-LOGICAL-c666t-252698f1068250db1911ee0ee8ec57bedc58173fc100b3d52597f3c66958f6e03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6522422/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6522422/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,886,1884,27929,27930,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30568111$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yamamoto, Ryuichi</creatorcontrib><creatorcontrib>Konagaya, Kensuke</creatorcontrib><creatorcontrib>Iijima, Hirokazu</creatorcontrib><creatorcontrib>Kashiwagi, Hiroyuki</creatorcontrib><creatorcontrib>Hashimoto, Masanori</creatorcontrib><creatorcontrib>Shindo, Asumi</creatorcontrib><creatorcontrib>Sasaki, Yuki</creatorcontrib><creatorcontrib>Yamamoto, Kota</creatorcontrib><creatorcontrib>Nakagawa, Masashi</creatorcontrib><creatorcontrib>Suno, Yuma</creatorcontrib><creatorcontrib>Abe, Toshiyuki</creatorcontrib><creatorcontrib>Takaki, Mutsuo</creatorcontrib><creatorcontrib>Suda, Koichi</creatorcontrib><creatorcontrib>Watanabe, Kazuomi</creatorcontrib><title>A Rare Case of Pancreatic Endometrial Cyst and Review of the Literature</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><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.</description><subject>C-reactive protein</subject><subject>Case Report</subject><subject>Cysts</subject><subject>endometrial cyst</subject><subject>Endometrium</subject><subject>Internal medicine</subject><subject>Lesions</subject><subject>Literature reviews</subject><subject>Pain</subject><subject>Pancreas</subject><subject>Patients</subject><subject>Splenectomy</subject><subject>Surgery</subject><subject>Tumor markers</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNplkVFvFCEUhYnR2LX6FwyJL75M5cLAwItJs6nVZGNN0z4TlrnTZTPLVGDa9N87k1032r5cHvjO4VwOIRTYGQdlvoRYMEXX77ANPkQ8g4bxCvQrsgBRm6rhQr4mC2ZAV3waJ-RdzlvGhG4Mf0tOBJNKA8CCXJ7Ta5eQLl1GOnT0l4s-oSvB04vYDjssKbieLp9yoS629BofAj7OZNkgXYUphytjwvfkTef6jB8O5ym5_XZxs_xera4ufyzPV5VXSpWKS66M7oApzSVr12AAEBmiRi-bNbZeamhE54GxtWgll6bpxKQ1UncKmTglX_e-9-N62t5jLMn19j6FnUtPdnDB_n8Tw8beDQ9WSc5rzieDzweDNPweMRe7C9lj37uIw5gtB2kEb1g9o5-eodthnL99onitjDI1mxPpPeXTkHPC7hgGmJ3bss_bsnNbFvQk_fjvMkfh33om4Oce2Obi7vAIuDQV1ONLZ6mtnsfhhSPoNy5ZjOIPfK2x9g</recordid><startdate>20190415</startdate><enddate>20190415</enddate><creator>Yamamoto, Ryuichi</creator><creator>Konagaya, Kensuke</creator><creator>Iijima, Hirokazu</creator><creator>Kashiwagi, Hiroyuki</creator><creator>Hashimoto, Masanori</creator><creator>Shindo, Asumi</creator><creator>Sasaki, Yuki</creator><creator>Yamamoto, Kota</creator><creator>Nakagawa, Masashi</creator><creator>Suno, Yuma</creator><creator>Abe, Toshiyuki</creator><creator>Takaki, Mutsuo</creator><creator>Suda, Koichi</creator><creator>Watanabe, Kazuomi</creator><general>The Japanese Society of Internal Medicine</general><general>Japan Science and Technology Agency</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20190415</creationdate><title>A Rare Case of Pancreatic Endometrial Cyst and Review of the Literature</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c666t-252698f1068250db1911ee0ee8ec57bedc58173fc100b3d52597f3c66958f6e03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>C-reactive protein</topic><topic>Case Report</topic><topic>Cysts</topic><topic>endometrial cyst</topic><topic>Endometrium</topic><topic>Internal medicine</topic><topic>Lesions</topic><topic>Literature reviews</topic><topic>Pain</topic><topic>Pancreas</topic><topic>Patients</topic><topic>Splenectomy</topic><topic>Surgery</topic><topic>Tumor markers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yamamoto, Ryuichi</creatorcontrib><creatorcontrib>Konagaya, Kensuke</creatorcontrib><creatorcontrib>Iijima, Hirokazu</creatorcontrib><creatorcontrib>Kashiwagi, Hiroyuki</creatorcontrib><creatorcontrib>Hashimoto, Masanori</creatorcontrib><creatorcontrib>Shindo, Asumi</creatorcontrib><creatorcontrib>Sasaki, Yuki</creatorcontrib><creatorcontrib>Yamamoto, Kota</creatorcontrib><creatorcontrib>Nakagawa, Masashi</creatorcontrib><creatorcontrib>Suno, Yuma</creatorcontrib><creatorcontrib>Abe, Toshiyuki</creatorcontrib><creatorcontrib>Takaki, Mutsuo</creatorcontrib><creatorcontrib>Suda, Koichi</creatorcontrib><creatorcontrib>Watanabe, Kazuomi</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yamamoto, Ryuichi</au><au>Konagaya, Kensuke</au><au>Iijima, Hirokazu</au><au>Kashiwagi, Hiroyuki</au><au>Hashimoto, Masanori</au><au>Shindo, Asumi</au><au>Sasaki, Yuki</au><au>Yamamoto, Kota</au><au>Nakagawa, Masashi</au><au>Suno, Yuma</au><au>Abe, Toshiyuki</au><au>Takaki, Mutsuo</au><au>Suda, Koichi</au><au>Watanabe, Kazuomi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Rare Case of Pancreatic Endometrial Cyst and Review of the Literature</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. 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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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