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KMID : 0870420130170040181
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Korean Journal of Hepato-Biliary-Pancreatic Surgery
2013 Volume.17 No. 4 p.181 ~ p.185
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Case report of a pancreatic squamoid cyst
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Yoo Dae-Gwang
Hwang Shin
Hwang Dae-Wook
Kim Ki-Hun
Ahn Chul-Soo
Ha Tae-Yong
Song Gi-Won
Jung Dong-Hwan
Park Gil-Chun
Lee Sung-Gyu
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Abstract
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Squamoid cyst of the pancreas is a very rare disease and it has been proposed only recently as a distinct pathologic lesion. We herein present a case of pancreatic squamoid cyst in a patient who underwent laparoscopic resection. A 60-year-old woman had an abdominal computed tomography (CT) scan for a routine check-up, and a multi-cystic lesion of 1.8-cm in size was incidentally found in the tail of the pancreas. Biochemical laboratory tests were within normal limits. At first, we presumed that the most likely diagnosis of the cystic lesion was an intraductal papillary muci-nous neoplasm. To treat this lesion, we performed laparoscopic spleen-saving distal pancreatectomy. The patient showed the usual routine postoperative course and she was discharged 10 days after surgery. On examination of the resected specimen, a well-defined, oligolocular cystic mass was found in the pancreatic tail, without a solid portion. Histologic examination revealed that the cysts had linings ranging from flat squamoid cells to transitional cells with non-keratinization. After immunohistochemical staining, the final diagnosis was confirmed to be squamoid cyst of the pancreas. This lesion appears to be regarded as a benign entity, thus an extended operation should be avoided and resection of the lesion can be performed minimally.
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KEYWORD
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Pancreatic squamoid cyst, Pancreatic cancer
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