Original Article
Copyright ©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jul 27, 2014; 6(7): 136-141
Published online Jul 27, 2014. doi: 10.4240/wjgs.v6.i7.136
Lymphoepithelial cysts and cystic lymphangiomas: Under-recognized benign cystic lesions of the pancreas
Ioannis T Konstantinidis, Avinash Kambadakone, Onofrio A Catalano, Dushyant V Sahani, Vikram Deshpande, David G Forcione, Jennifer A Wargo, Carlos Fernandez-del Castillo, Keith D Lillemoe, Andrew L Warshaw, Cristina R Ferrone
Ioannis T Konstantinidis, Jennifer A Wargo, Carlos Fernandez-del Castillo, Keith D Lillemoe, Andrew L Warshaw, Cristina R Ferrone, Departments of Surgery, Massachusetts General Hospital, Boston, MA 02114, United States
Ioannis T Konstantinidis, Department of Surgery, University of Arizona, Tucson, AZ 85724, United States
Vikram Deshpande, Departments of Pathology, Massachusetts General Hospital, Boston, MA 02114, United States
Avinash Kambadakone, Onofrio A Catalano, Dushyant V Sahani, Departments of Radiology, Massachusetts General Hospital, Boston, MA 02114, United States
Onofrio A Catalano, Department of Radiology, University of Napoli, 80138 Napoli, Italy
David G Forcione, Departments of Gastroenterology, Massachusetts General Hospital, Boston, MA 02114, United States
Author contributions: All the authors contributed to this work.
Correspondence to: Cristina R Ferrone, MD, Assistant Professor, Departments of Surgery, Massachusetts General Hospital, Wang Ambulatory Care Center 460, 15 Parkman Street, Boston, MA 02114, United States. cferrone@partners.org
Telephone: +1-617-6436189 Fax: +1-617-6436116
Received: March 10, 2014
Revised: May 5, 2014
Accepted: July 12, 2014
Published online: July 27, 2014
Core Tip

Core tip: Lymphoepithelial cysts and cystic lymphangiomas of the pancreas represent rare, benign cystic lesions. The experience with their diagnosis and treatment is limited mostly to case reports. This report describes our experience with twelve lymphoepithelial cysts and cystic lymhangiomas of the pancreas, analyzing their clinicopathologic characteristics, the role of contrast enhanced computed tomography and endoscopic ultrasound with fine needle aspiration for their diagnosis with an emphasis on non-surgical management when a correct diagnosis can be established in an asymptomatic patient.