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Foregut duplication of the stomach diagnosed by endoscopic ultrasound guided fine-needle aspiration cytology: case report and literature review

Gastric duplication cyst (GDC) with a pseudostratified columnar ciliated epithelium is an uncommon malformation supposed to originate from a respiratory diverticulum arising from the ventral foregut. Morphologic appearance of GDCs is variable, depending on the density of their contents. GDCs are oft...

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Autores principales: Napolitano, Vincenzo, Pezzullo, Angelo M, Zeppa, Pio, Schettino, Pietro, D’Armiento, Maria, Palazzo, Antonietta, Pietra, Cristina Della, Napolitano, Salvatore, Conzo, Giovanni
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3599514/
https://www.ncbi.nlm.nih.gov/pubmed/23374143
http://dx.doi.org/10.1186/1477-7819-11-33
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author Napolitano, Vincenzo
Pezzullo, Angelo M
Zeppa, Pio
Schettino, Pietro
D’Armiento, Maria
Palazzo, Antonietta
Pietra, Cristina Della
Napolitano, Salvatore
Conzo, Giovanni
author_facet Napolitano, Vincenzo
Pezzullo, Angelo M
Zeppa, Pio
Schettino, Pietro
D’Armiento, Maria
Palazzo, Antonietta
Pietra, Cristina Della
Napolitano, Salvatore
Conzo, Giovanni
author_sort Napolitano, Vincenzo
collection PubMed
description Gastric duplication cyst (GDC) with a pseudostratified columnar ciliated epithelium is an uncommon malformation supposed to originate from a respiratory diverticulum arising from the ventral foregut. Morphologic appearance of GDCs is variable, depending on the density of their contents. GDCs are often misdiagnosed as solid masses by imaging techniques, and as a consequence they may be wrongly overtreated. We report our case of a 56-year-old man with a 5 cm hypoechoic mass of the gastroesophageal junction, incidentally detected by transabdominal ultrasonography. Neither transabdominal ultrasonography nor magnetic resonance clearly outlined the features of the lesion. The patient underwent endoscopic ultrasound (EUS), which showed a hypoechoic mass arising from the fourth layer of the anterior gastric wall, just below the gastroesophageal junction. According to EUS features, a diagnosis of gastrointestinal stromal tumor was suggested. EUS-guided fine-needle aspiration cytology revealed a diagnosis of GDC with pseudostratified columnar ciliated epithelium. We therefore performed an endoscopically-assisted laparoscopic excision of the cyst. In conclusion, whenever a subepithelial gastric mass is found in the upper part of the gastric wall, a duplication cyst, although rare, should be considered. In this case, EUS-guided fine-needle aspiration cytology could provide a cytological diagnosis useful to arrange in advance the more adequate surgical treatment.
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spelling pubmed-35995142013-03-17 Foregut duplication of the stomach diagnosed by endoscopic ultrasound guided fine-needle aspiration cytology: case report and literature review Napolitano, Vincenzo Pezzullo, Angelo M Zeppa, Pio Schettino, Pietro D’Armiento, Maria Palazzo, Antonietta Pietra, Cristina Della Napolitano, Salvatore Conzo, Giovanni World J Surg Oncol Case Report Gastric duplication cyst (GDC) with a pseudostratified columnar ciliated epithelium is an uncommon malformation supposed to originate from a respiratory diverticulum arising from the ventral foregut. Morphologic appearance of GDCs is variable, depending on the density of their contents. GDCs are often misdiagnosed as solid masses by imaging techniques, and as a consequence they may be wrongly overtreated. We report our case of a 56-year-old man with a 5 cm hypoechoic mass of the gastroesophageal junction, incidentally detected by transabdominal ultrasonography. Neither transabdominal ultrasonography nor magnetic resonance clearly outlined the features of the lesion. The patient underwent endoscopic ultrasound (EUS), which showed a hypoechoic mass arising from the fourth layer of the anterior gastric wall, just below the gastroesophageal junction. According to EUS features, a diagnosis of gastrointestinal stromal tumor was suggested. EUS-guided fine-needle aspiration cytology revealed a diagnosis of GDC with pseudostratified columnar ciliated epithelium. We therefore performed an endoscopically-assisted laparoscopic excision of the cyst. In conclusion, whenever a subepithelial gastric mass is found in the upper part of the gastric wall, a duplication cyst, although rare, should be considered. In this case, EUS-guided fine-needle aspiration cytology could provide a cytological diagnosis useful to arrange in advance the more adequate surgical treatment. BioMed Central 2013-02-02 /pmc/articles/PMC3599514/ /pubmed/23374143 http://dx.doi.org/10.1186/1477-7819-11-33 Text en Copyright ©2013 Napolitano et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Napolitano, Vincenzo
Pezzullo, Angelo M
Zeppa, Pio
Schettino, Pietro
D’Armiento, Maria
Palazzo, Antonietta
Pietra, Cristina Della
Napolitano, Salvatore
Conzo, Giovanni
Foregut duplication of the stomach diagnosed by endoscopic ultrasound guided fine-needle aspiration cytology: case report and literature review
title Foregut duplication of the stomach diagnosed by endoscopic ultrasound guided fine-needle aspiration cytology: case report and literature review
title_full Foregut duplication of the stomach diagnosed by endoscopic ultrasound guided fine-needle aspiration cytology: case report and literature review
title_fullStr Foregut duplication of the stomach diagnosed by endoscopic ultrasound guided fine-needle aspiration cytology: case report and literature review
title_full_unstemmed Foregut duplication of the stomach diagnosed by endoscopic ultrasound guided fine-needle aspiration cytology: case report and literature review
title_short Foregut duplication of the stomach diagnosed by endoscopic ultrasound guided fine-needle aspiration cytology: case report and literature review
title_sort foregut duplication of the stomach diagnosed by endoscopic ultrasound guided fine-needle aspiration cytology: case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3599514/
https://www.ncbi.nlm.nih.gov/pubmed/23374143
http://dx.doi.org/10.1186/1477-7819-11-33
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