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KMID : 0191120000150050589
Journal of Korean Medical Science
2000 Volume.15 No. 5 p.589 ~ p.592
A case of epidermoid cyst of the intrapancreatic accessory spleen
Choi SK
Ahn SI/Hong KC/Kim SJ/Kim TS/Woo ZH/Shin SH
Abstract
A 54-year-old woman presented with a huge palpable mass on left upper quadrant of the abdomen. After
preoperative work-up, a cystic disease of pancreatic tail or accessory spleen was initially suspected.
We performed exploratory laparotomy and resected both the spleen and a 15 x 11 cm-sized huge cystic mass
containing a part of solid component which extended continuously to the pancreatic tail. The solid component,
comprising the upper portion of the resected cyst, was reddish brown and granular like as normal splenic
tissue. The inner surface of the cyst was smooth and was filled with yellowish white material. Histologic
examination showed an epidermoid cyst originating in the accessory spleen of the pancreatic tail lacking
hair or skin appendages.
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