A CASE OF LYMPHOEPITHELIAL CYST OF THE PANCREAS
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- SHIGEMORI Chika
- Department of Surgery, Kuwana City Hospital
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- KIHATA Masafumi
- Department of Surgery, Kuwana City Hospital
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- MORIYAMA Shigeru
- Department of Surgery, Kuwana City Hospital
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- FUJIOKA Masaki
- Department of Surgery, Kuwana City Hospital
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- MIURA Satoru
- Department of Second Pathology, Mie University Hospital
Bibliographic Information
- Other Title
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- 膵内lymphoepithelial cystの1例
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Abstract
Lymphoepithelial cyst (LEC) of the pancreas is a rare condition and only about 20 cases have been reported in the world. We have reported here a case of LEC in a 63-year-old man complained of backpain with dullness and tenderness. Two cystic lesions in the pancreas head and tail respectively were found by of abdominal alteasonography, CT and magnetic resonance imaging. The cysts 10cm and 5cm in diameter were solid and did not invaded the surrounding tissue. For high levels of serum CEA and CA19-9, we could not rule out a suspicion of malignancy. Laparotomy was performed and it was revealed that the two cysts were smooth, well-circumscribed and encapsuled at surface of the pancreas head and tail. Since the cytological findings of the contents and cut surface were negative for malignancy, enucleation of the cyst of the pancreas head and distal pancreatectomy with splenectomy were carried out. The contents were keratinous material. Microscopically the wall was lined by keratinizing squamous epithelium, and it was surrounded by lymphoid tissue with focal follicles. The histologic diagnosis was LEC of the pancreas. The stains for CEA and CA19-9 of epithelial cells were positive. Postoperatively, his symptom disappeared and serum CEA and CA19-9 concentrations were normalized.
Journal
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- The journal of the Japanese Practical Surgeon Society
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The journal of the Japanese Practical Surgeon Society 56 (11), 2422-2426, 1995
Japan Surgical Association
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Keywords
Details 詳細情報について
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- CRID
- 1390001205314988288
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- NII Article ID
- 130003599475
- 10008516979
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- NII Book ID
- AN00198696
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- ISSN
- 21892075
- 03869776
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed