Critical Observation on Pancreatic Lymphoepithelial Cyst: An Atypical Benign Pancreatic Tumour

Introduction: Pancreatic lymphoepithelial cyst is a rare benign lesion that usually presents itself as
an incidental radiological finding. Symptoms mayinclude abdominal pain, weight loss, nausea or
compression of adjacent structures. The differential diagnosis includes most of the pancreatic cystic
lesions, even benign or malignant tumours. In most cases, for the final diagnosis, fine needle
aspiration or surgery can be required.
Case Report: We report a case of a giant pancreatic lymphoepithelial cyst in a 43-year-old man with
abdominal pain and weight loss. In this case, radical surgery wasconsidered a too difficult procedure
and due to benignity of the tumour, conservative resection was elected.
Conclusion: Surgery can be the final diagnosis test in case of pancreatic lymphoepithelial cyst due to
diagnostic uncertainty. Conservative resection can be a good option in case of complex resection,
with a low rate of postoperative complications and without risk of tumoural degeneration.