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이현석 ( Hyun Seok Lee ),최소영 ( So Young Choi ),정민규 ( Min Kyu Jung ),전성우 ( Seong Woo Jeon ),조창민 ( Chang Min Cho ),탁원영 ( Won Young Tak ),권영오 ( Young Oh Kewon ) 대한내과학회 2010 대한내과학회지 Vol.78 No.5
저자들은 객담성 기침과 흉막통으로 내원한 환자에서 우연히 발견되어 수술 후 병리학적으로 확인된 췌장의 림프상피성 낭종 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. A lymphoepithelial cyst of the pancreas is a rare, benign disease. A 58-year-old man with no abdominal symptoms was found to have a cystic mass in the pancreas. Computed tomography showed a multi-septated cystic mass in the tail of the pancreas. We performed a distal pancreatectomy with a splenectomy. Histological examination revealed that the cyst wall was lined with squamous epithelium and surrounded by lymphoid tissue. Keratinous material was present in the cyst. A lymphoepithelial cyst of the pancreas should be considered in the differential diagnosis of all cystic pancreatic lesions. Fine-needle aspiration biopsy may be a useful strategy, but local surgical resection of the cyst, for most patients, should be considered to exclude malignancy. (Korean J Med 78:616-619, 2010)