Annals of Hepato-Biliary-Pancreatic Surgery

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Table. 1.

Table. 1.

Clinicopathological data of 16 patients with squamoid cyst of pancreatic ducts in the literature

Authors Case Age Sex Presentation symptoms/signs Preoperative diagnosis Location Size (cm) Serum CEA /CA19-9 Cyst fluid CEA level (ng/ml) Type of surgery P63 MUC1 MUC6 Other immunohistochemical stain
Othman et al.1 1 77 F Increased size on CT scan Mucinous tumor Head 9.0 N/A N/A PD Positive Positive Positive Positive in Inhibin, CK7,19
Negative in CK20
2 76 M Increased CEA in the cyst fluid Mucinous tumor Body 0.9 Normal Elevateda STP Positive Positive Positive Positive in Inhibin, CK7,19
Negative in CK20
3 52 F RUQ pain Mucinous tumor Head 2.0 N/A N/A PD Positive Positive Positive Positive in Inhibin, CK7,19
Negative in CK20
4 79 F Episodic backache Mucinous tumor Tail 2.0 Normal N/A DP Positive Positive Positive Positive in Inhibin, CK7,19
Negative in CK20
5 59 M High CEA in the cyst fluid Mucinous tumor Head 0.8 N/A Elevateda PD Positive Positive Positive Positive in Inhibin, CK7,19
Negative in CK20
6 66 M Pancreatic mass on CT scan Mucinous tumor Head 1.0 N/A N/A PD Positive Positive Positive Positive in Inhibin, CK7,19
Negative in CK20
Kurahara et al.2 7 80 M Increased size on CT scan MCN Body 3.1 Normal N/A CP N/A Positive Positive Positive in involucrin
Hanson et al.4 8 74 M Increased size on CT with high CEA in the cyst fluid MCN Body 2.0 Normal 565 N/A Positive Negative Negative
9 57 M Multiple cysts IPMN Head 1.0 N/A N/A PDc Positive Negative Negative
10 67 M Increased size on CT scan MCN Neck 4.5 N/A 14→127b N/A Positive Negative Negative
Yoo et al.3 11 60 F 5 mm mural nodule IPMN Tail 2.0 Normal N/A LDP Positive Negative Negative Positive in CK7 Negative in Inhibin, CK20
Milanetto et al.6 12 68 F Calcification on the cyst wall MCN Tail 3.0 Normal N/A DP N/A N/A N/A Positive in CK7 Negative in CK5
Assifi et al.5 13 78 F Abdominal pain N/A Head 3.2 N/A N/A PPPD N/A N/A N/A
14 72 F Patient opted for surgery Tail 1.5 N/A N/A LDP N/A N/A N/A
15 66 M None N/A Tail 3.0 N/A N/A DP N/A N/A N/A
16 55 F Patient opted for surgery Head 2.0 N/A N/A PPPD N/A N/A N/A

aSpecific level was not available;

bInitial level was 14 ng/ml, three years later, second fluid CEA level was elevated to 127 ng/ml

cMain lesion was diagnosed IPMN with low grade dysplasia, another cystic lesion in the head proved to be a squamoid cyst of pancreatic duct

N/A, not available; PD, pancreaticoduodenectomy; STP, subtotal pancreatectomy; DP, distal pancreatectomy; CP, central pancreatectomy; LDP, laparoscopic distal pancreatectomy

Ann Hepatobiliary Pancreat Surg 2021;25:293-8 https://doi.org/10.14701/ahbps.2021.25.2.293
© 2021 Ann Hepatobiliary Pancreat Surg