Ciliated enteric duplication cyst presenting as a pancreatic cystic neoplasm

Report of a case with cyst fluid analysis

Michael R. Pins, Carolyn Compton, James F. Southern, David W. Rattner, Kent B. Lewandrowski

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

Pancreatic cysts include inflammatory pseudocysts, cystic tumors (serous and mucinous), and various rare cystic lesions. We report a case of a ciliated enteric duplication cyst that presented on computed tomographic scan as a pancreatic cystic neoplasm. Cyst fluid analysis revealed markedly increased concentrations of carcinoembryonic antigen and CA 125 and increased fluid viscosity. These features are typical for a mucinous cystic neoplasm of the pancreas and demonstrate a potential pitfall associated with the diagnosis of pancreatic cysts by chemical analyses. Enteric duplications involving the pancreas are rare, usually of gastric origin, and usually communicate with their enteric source. Morphological and histochemical analysis suggest that this cyst was of caudal foregut origin. This is the first reported case of a ciliated foregut cyst involving the pancreas. The chemical characteristics of the cyst fluid of these lesions have not been described previously.

Original languageEnglish (US)
Pages (from-to)1501-1503
Number of pages3
JournalClinical Chemistry
Volume38
Issue number8
StatePublished - 1992
Externally publishedYes

Fingerprint

Cyst Fluid
Pancreatic Neoplasms
Pancreatic Cyst
Cysts
Fluids
Pancreas
Carcinoembryonic Antigen
Viscosity
Tumors
Stomach
Neoplasms

Keywords

  • Amylase
  • CA 125
  • Cancer
  • Carcinoembryonic antigen

ASJC Scopus subject areas

  • Clinical Biochemistry

Cite this

Ciliated enteric duplication cyst presenting as a pancreatic cystic neoplasm : Report of a case with cyst fluid analysis. / Pins, Michael R.; Compton, Carolyn; Southern, James F.; Rattner, David W.; Lewandrowski, Kent B.

In: Clinical Chemistry, Vol. 38, No. 8, 1992, p. 1501-1503.

Research output: Contribution to journalArticle

Pins, Michael R. ; Compton, Carolyn ; Southern, James F. ; Rattner, David W. ; Lewandrowski, Kent B. / Ciliated enteric duplication cyst presenting as a pancreatic cystic neoplasm : Report of a case with cyst fluid analysis. In: Clinical Chemistry. 1992 ; Vol. 38, No. 8. pp. 1501-1503.
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