Abstract
Gastric duplication cyst (GDC) lined by pseudostratified columnar ciliated epithelium (PCCE) is an uncommon lesion stemming from a foregut developmental malformation. Its clinical and radiological presentation is usually nonspecific. In this study, we reported a 76-year-old man who presented with an incidentally found perigastric mass. An exploratory laparotomy revealed a non-communicating cyst below the gastroesophageal junction, measuring 4 cm×4 cm in size. Microscopically, the gastric cyst was lined merely by PCCE. Although rare, GDC lined by PCCE should be included in the differential diagnosis of gastric wall masses. Surgical intervention is warranted in patients who have clinical symptoms, or who are aged more than 50 years.
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Chaudhry, U.I., DeMatteo, R.P., 2009. Management of resectable gastrointestinal stromal tumor. Hematol. Oncol. Clin. North Am., 23(1):79–96. [doi:10.1016/j.hoc.2009.01.001]
Cunningham, S., Hansel, D., Fishman, E., Cameron, J., 2006. Foregut duplication cyst of the stomach. J. Gastrointest. Surg., 10(4):620–621. [doi:10.1016/j.gassur.2005.04.004]
Eloubeidi, M.A., Cohn, M., Cerfolio, R.J., Chhieng, D.C., Jhala, N., Jhala, D., Eltoum, I.A., 2004. Endoscopic ultrasound-guided fine-needle aspiration in the diagnosis of foregut duplication cysts: the value of demonstrating detached ciliary tufts in cyst fluid. Cancer Cytopathol., 102(4):253–258. [doi:10.1002/cncr.20369]
Fukumoto, K., Suzuki, S., Sakaguchi, T., Morita, Y., Oishi, K., Suzuki, A., Inaba, K., Kamiya, K., Miura, K., Konno, H., 2008. Adenocarcinoma arising from gastric duplication: a case report with literature review. Clin. J. Gastroenterol., 1(4):148–152. [doi:10.1007/s12328-008-0024-1]
Gensler, S., Seidenberg, B., Rifkin, H., Rubinstein, B., 1966. Ciliated lined intramural cyst of the stomach: case report and suggested embryogenesis. Ann. Surg., 163(6):954–956. [doi:10.1097/00000658-196606000-00018]
Hall, D.A., Pu, R.T., Pang, Y., 2007. Diagnosis of foregut and tailgut cysts by endosonographically guided fine-needle aspiration. Diagn. Cytopathol., 35(1):43–46. [doi:10.1002/dc.20573]
Hedayati, N., Cai, D., McHenry, C., 2003. Subdiaphragmatic bronchogenic cyst masquerading as an “adrenal incidentaloma”. J. Gastrointest. Surg., 7(6):802–804. [doi:10.1016/S1091-255X(03)00134-3]
Holcomb, G., Gheissari, A., O’Neill, J., Shorter, N., Bishop, H., 1989. Surgical management of alimentary tract duplications. Ann. Surg., 209(2):167–174. [doi:10.1097/00000658-198902000-00006]
Jiang, L., Jiang, L.S., Cheng, N.S., Yan, L.N., 2010. Bronchogenic cyst of the gastric fundus in a young woman. Dig. Liver Dis., 42(11):826. [doi:10.1016/j.dld.2009.06.014]
Kim, D.H., Kim, J.S., Nam, E.S., Shin, H.S., 2000. Foregut duplication cyst of the stomach. Pathol. Int., 50(2):142–145. [doi:10.1046/j.1440-1827.2000.01008.x]
Kumar, R., Tripathi, M., Chandrashekar, N., Agarwala, S., Kumar, A., Dasan, J.B., Malhotra, A., 2005. Diagnosis of ectopic gastric mucosa using 99Tcm-pertechnetate: spectrum of scintigraphic findings. Br. J. Radiol., 78(932): 714–720. [doi:10.1259/bjr/16678420]
Lee, S., Park, D., Park, J., Kim, H., Park, S., Kim, S., Oh, M., 2006. Endoscopic mucosal resection of a gastric bronchogenic cyst that was mimicking a solid tumor. Endoscopy, 38(Suppl. 2):E12–E13. [doi:10.1055/s-2006-944862]
Mardi, K., Kaushal, V., Gupta, S., 2010. Foregut duplication cysts of stomach masquerading as leiomyoma. Indian J. Pathol. Microbiol., 53(1):160–161. [doi:10.4103/0377-4929.59214]
Melo, N., Pitman, M.B., Rattner, D.W., 2005. Bronchogenic cyst of the gastric fundus presenting as a gastrointestinal stromal tumor. J. Laparoendosc. Adv. Surg. Tech., 15(2): 163–165. [doi:10.1089/lap.2005.15.163]
Murakami, S., Isozaki, H., Shou, T., Sakai, K., Toyota, H., 2008. Foregut duplication cyst of the stomach with pseudostratified columnar ciliated epithelium. Pathol. Int., 58(3):187–190. [doi:10.1111/j.1440-1827.2007.02209.x]
Rubio, C.A., Orrego, A., Willén, R., 2005. Congenital bronchogenic cyst in the gastric mucosa. J. Clin. Pathol., 58(3):335.
Sato, M., Irisawa, A., Bhutani, M.S., Schnadig, V., Takagi, T., Shibukawa, G., Wakatsuki, T., Imamura, H., Takahashi, Y., Sato, A., et al., 2008. Gastric bronchogenic cyst diagnosed by endosonographically guided fine needle aspiration biopsy. J. Clin. Ultrasound, 36(4):237–239. [doi: 10.1002/jcu.20425]
Sharma, S., Nezakatgoo, N., Sreenivasan, P., Vanatta, J., Jabbour, N., 2009. Foregut cystic developmental malformation: new taxonomy and classification-unifying embryopathological concepts. Indian J. Pathol. Microbiol., 52(4):461–472. [doi:10.4103/0377-4929.56119]
Shibahara, H., Arai, T., Yokoi, S., Hayakawa, S., 2009. Bronchogenic cyst of the stomach involved with gastric adenocarcinoma. Clin. J. Gastroenterol., 2(2):80–84. [doi: 10.1007/s12328-008-0042-z]
Song, S.Y., Noh, J.H., Lee, S.J., Son, H.J., 2005. Bronchogenic cyst of the stomach masquerading as benign stromal tumor. Pathol. Int., 55(2):87–91. [doi:10.1111/j.1440-1827.2005.01788.x]
Takahara, T., Torigoe, T., Haga, H., Yoshida, H., Takeshima, S., Sano, S., Ishii, Y., Furuya, T., Nakamura, E., Ishikawa, M., 1996. Gastric duplication cyst: evaluation by endoscopic ultrasonography and magnetic resonance imaging. J. Gastroenterol., 31(3):420–424. [doi:10.1007/BF02355033]
Theodosopoulos, T., Marinis, A., Karapanos, K., Vassilikostas, G., Dafnios, N., Samanides, L., Carvounis, E., 2007. Foregut duplication cysts of the stomach with respiratory epithelium. World J. Gastroenterol., 13(8):1279–1281.
Wakabayashi, H., Okano, K., Yamamoto, N., Suzuki, Y., Inoue, H., Kadota, K., Haba, R., 2007. Laparoscopically resected foregut duplication cyst (bronchogenic) of the stomach. Dig. Dis. Sci., 52(8):1767–1770. [doi:10.1007/s10620-006-9580-8]
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Jiang, W., Zhang, B., Fu, Yb. et al. Gastric duplication cyst lined by pseudostratified columnar ciliated epithelium: a case report and literature review. J. Zhejiang Univ. Sci. B 12, 28–31 (2011). https://doi.org/10.1631/jzus.B1000130
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DOI: https://doi.org/10.1631/jzus.B1000130
Key words
- Gastric duplication cyst (GDC)
- Foregut
- Pseudostratified columnar ciliated epithelium (PCCE)
- Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA)