Lymphoepithelial cyst of the pancreas tail. Case report and review of the literature.
BACKGROUND
Lymphoepithelial cyst of the pancreas is a lesion that comprises a stratified squamous epithelial lining atop dense lymphoid tissue.


METHODS
We report our case of a 56-year-old man presented with recurrent abdominal pain. A CT scan showed a cystic lesion between the spleen and the pancreas. A distal pancreatectomy with splenectomy was performed. All pancreatic tissue was submitted for histologic examination. The patient recovered on the ward. On postoperative day two, the patient started eating an advanced diet. He was discharged on postoperative day four. The cyst is comprised of benign stratified squamous epithelium atop dense lymphoid tissue, which was consistent with cyst.


CONCLUSIONS
Good preoperative radiological anatomical mapping, good communication and good cooperation between the pathologist and the surgeon are essential to resect the lymphoepithelial cyst and exclude malignancy.
Frezza
Eldo E
EE
Division of General Surgery, Department of Surgery, Texas Tech University Health Sciences Center, Lubbock, TX 79430, USA. eldo.frezza@ttuhsc.edu
Wachtel
Mitchell S
MS
D015746:Abdominal Pain / Q000000981:diagnostic imaging / Q000473:pathology; D004848:Epithelium / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D008221:Lymphoid Tissue / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000000981:diagnostic imaging* / Q000473:pathology*; D010181:Pancreatic Cyst / Q000000981:diagnostic imaging* / Q000473:pathology*; D014057:Tomography, X-Ray Computed