Abstract

Context Pancreatic lymphoepithelial cyst is a rare benign lesion that usually presents itself as an incidental radiological finding. Symptoms may include 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 PLC in a 43-years-old man with abdominal pain and weight loss. In this case, radical surgery was considered 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 PLC 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 tumoral degeneration.