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Case report of pancreatic dermoid cyst: can fine needle aspiration make the diagnosis?
MedLine Citation:
PMID:  24216554     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
CONTEXT: Pancreatic dermoid cysts are rare, benign, germ cell tumors and part of the differential diagnosis for cystic neoplasms of the pancreas.
CASE REPORT: A 35-year-old man presented with an incidentally discovered, 2 cm cystic pancreatic neoplasm of the pancreatic tail identified on CT scan. Endoscopic ultrasound (EUS) revealed a complex, honeycomb lesion. Fine needle aspiration (FNA) yielded a sample of whitish, necrotic material containing histiocytes, benign epithelial cells, and lymphocytes. After distal pancreatectomy and splenectomy was performed, histology revealed a cyst lined by stratified squamous epithelium with benign sebaceous units consistent with a pancreatic dermoid cysts.
DISCUSSION: Although axial imaging reliably detects cystic neoplasms of the pancreas, diagnostic criteria for rare lesions are lacking; therefore alternative modalities such as EUS/FNA can be utilized. This case report highlights the EUS and FNA findings associated with pancreatic dermoid cysts.
Authors:
Daniel A Lyons; Emily A Coberly; Ghassan M Hammoud; Michael B Nicholl
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Publication Detail:
Type:  Journal Article     Date:  2013-11-10
Journal Detail:
Title:  JOP : Journal of the pancreas     Volume:  14     ISSN:  1590-8577     ISO Abbreviation:  JOP     Publication Date:  2013  
Date Detail:
Created Date:  2013-11-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101091810     Medline TA:  JOP     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  653-6     Citation Subset:  IM    
Affiliation:
Division of Surgical Oncology, Department of Surgery, University of Missouri-Columbia. Columbia, MO, USA. dlyons9715@gmail.com.
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