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In addition, our findings emphasize the significance of making a preoperative diagnosis of LS.
Making a preoperative diagnosis proves challenging, and the disease is frequently misdiagnosed.
The utility of making a preoperative or pretreatment diagnosis in patients with resectable pancreatic cancer remains controversial.
Even with the recent advances in radiologic imaging modalities, making a preoperative diagnosis of this is difficult and most cases are diagnosed during laparotomy.
Furthermore, as patients presented with more factors, there was an increase in the specificity and positive predictive value but a decrease in sensitivity and negative value of the guidelines for making a preoperative diagnosis of malignancy.
Visually evoked potential (VEP) and bright light flash electroretinography are important ancillary measures for making a preoperative decision, but these tests are not completely reliable either.
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In this case, we could make a preoperative diagnosis by EUS-FNA.
A unique location can make a preoperative diagnosis even more difficult.
FNA can be used to make a preoperative pathological diagnosis; however, if the cyst is a malignant tumor, there is a risk of peritoneal seeding with FNA.
In addition, since UESL in adulthood is very rare, it was extremely difficult in this case to make a preoperative diagnosis.
A project study group of Japanese Society of Hepato-Biliary-Pancreatic Surgery (JHBPS) nomogram can make a preoperative prediction of the DFS of CRLM treated with hepatic resection [1].
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