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Microscopically, the lesions are not true cysts, but communicate with the surrounding parenchyma.
The prefix pseudo- (Greek for "false") distinguishes them from true cysts, which are lined by epithelium; pseudocysts are lined with granulation tissue.
A pseudocyst isn't a true cyst because the wall of the sac is not composed of a specific lining of cells characteristic of a true cyst.
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