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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2018; 09(03): 125-127
DOI: 10.4103/jde.JDE_20_17
Case Report
Journal of Digestive Endoscopy

Ciliated Foregut Cyst of the Pancreas Presenting as a Mucinous Cystic Neoplasm

Nadia Huq
Departments of Internal Medicine, Aurora St. Luke’s Medical Center, Milwaukee, WI, USA
,
Wesley Papenfuss
1   Departments of Surgical Oncology, Aurora St. Luke’s Medical Center, Milwaukee, WI, USA
,
Nalini M. Guda
2   Departments of Gastroenterology, Aurora St. Luke’s Medical Center, Milwaukee, WI, USA
› Author Affiliations
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Publication History

Publication Date:
24 September 2019 (online)

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A 53‑year‑old underwent an abdominal computed tomography for hematuria that incidentally discovered a cystic lesion of the pancreas. Endoscopic ultrasound revealed a structure with debris and septations; fine‑needle aspiration with negative cytology but elevated tumor marker suggested a mucinous cystic neoplasm or an intraductal papillary mucinous neoplasm. Laparoscopic excision confirmed a walled‑off cyst detachable from the posterior aspect of the pancreas consistent with a ciliated foregut cyst. There are limited data on ciliated foregut cysts of the pancreas, and the current report highlights the diagnostic dilemma and a review of the current literature.

Keywords

Embryonic cyst - intraductal papillary mucinous neoplasm - mucinous cystic neoplasm - pancreatic lesion
 

  • References

  • 1 Al-Rashdan A, Schmidt CM, Al-Haddad M, McHenry L, Leblanc JK, Sherman S. et al Fluid analysis prior to surgical resection of suspected mucinous pancreatic cysts. A single centre experience. J Gastrointest Oncol 2011; 2: 208-14
    PubMedSearch in Google Scholar
  • 2 Kaimakliotis P, Riff B, Pourmand K, Chandrasekhara V, Furth EE, Siegelman ES. et al Sendai and Fukuoka consensus guidelines identify advanced neoplasia in patients with suspected mucinous cystic neoplasms of the pancreas. Clin Gastroenterol Hepatol 2015; 13: 1808-15
    CrossrefPubMedSearch in Google Scholar
  • 3 Sharma S, Nezakatgoo N, Sreenivasan P, Vanatta J, Jabbour N. Foregut cystic developmental malformation: New taxonomy and classification – Unifying embryopathological concepts. Indian J Pathol Microbiol 2009; 52: 461-72
    CrossrefPubMedSearch in Google Scholar
  • 4 Woon CS, Pambuccian SE, Lai R, Jessurun J, Gulbahce HE. Ciliated foregut cyst of pancreas: Cytologic findings on endoscopic ultrasound-guided fine-needle aspiration. Diagn Cytopathol 2007; 35: 433-8
    CrossrefPubMedSearch in Google Scholar
  • 5 Gómez Mateo Mdel C, Muñoz Forner E, Sabater Ortí L, wMuñoz Izquierdo A. Foregut cystic malformations in the pancreas. Are definitions clearly established? JOP 2011; 12: 420-4
    PubMedSearch in Google Scholar
  • 6 Sharma S, Dean AG, Corn A, Kohli V, Wright HI, Sebastian A. et al Ciliated hepatic foregut cyst: An increasingly diagnosed condition. Hepatobiliary Pancreat Dis Int 2008; 7: 581-9
    PubMedSearch in Google Scholar