Dermoid cyst of the pancreas: a case report with literature review

J Radiol Case Rep. 2012 Dec;6(12):17-25. doi: 10.3941/jrcr.v6i12.1152. Epub 2012 Dec 1.


Pancreatic dermoid cysts represent a rare entity with 35 cases described in the world literature, including the present one. Pre-operative diagnosis is difficult, with definitive diagnosis usually taking place intra-operatively. We report the case of a 63 year old male with a symptomatic, 6 cm cystic mass in the body of the pancreas. The pre-operative evaluation suggested a cystic neoplasm, but was indeterminate as to whether the lesion was benign or malignant. The diagnosis of dermoid cyst was made intra-operatively with frozen section. Although the diagnosis could not be made pre-operatively this retrospective report highlights the difficulty in evaluating cystic pancreatic lesions by imaging and summarizes the current body of knowledge on this rare entity.

Keywords: Pancreas; computed tomography; dermoid cyst; mature cystic teratoma; pathology.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Dermoid Cyst / diagnosis*
  • Dermoid Cyst / diagnostic imaging
  • Dermoid Cyst / pathology
  • Dermoid Cyst / surgery
  • Diagnosis, Differential
  • Frozen Sections*
  • Humans
  • Male
  • Middle Aged
  • Pancreatectomy*
  • Pancreatic Fistula / etiology
  • Pancreatic Fistula / surgery
  • Pancreatic Neoplasms / diagnosis*
  • Pancreatic Neoplasms / diagnostic imaging
  • Pancreatic Neoplasms / pathology
  • Pancreatic Neoplasms / surgery
  • Tomography, X-Ray Computed
  • Treatment Outcome