Bronchogenic cyst of the stomach:A case report  

作　　者：Wen-Ting He Jing-Yu Deng Han Liang Jian-Yu Xiao Fu-Liang Cao 

机构地区：[1]Department of Gastroenterology,Tianjin Medical University Cancer Institute and Hospital,National Clinical Research Center for Cancer,Key Laboratory of Cancer Prevention and Therapy,Tianjin,and Tianjin’s Clinical Research Center for Cancer,Tianjin 300060,China [2]Department of Radiology,Tianjin Medical University Cancer Institute and Hospital,National Clinical Research Center for Cancer,Key Laboratory of Cancer Prevention and Therapy,Tianjin,and Tianjin’s Clinical Research Center for Cancer,Tianjin 300060,China [3]Department of Endoscopy,Tianjin Medical University Cancer Institute and Hospital,National Clinical Research Center for Cancer,Key Laboratory of Cancer Prevention and Therapy,Tianjin,and Tianjin’s Clinical Research Center for Cancer,Tianjin 300060,China

出　　处：《World Journal of Clinical Cases》2020年第8期1525-1531,共7页世界临床病例杂志

基　　金：National Natural Science Foundation of China,No.81572372;National Key Research and Development Program"Major Chronic Non-infectious Disease Research",No.2016YFC1303200;National Key Research and Development Program"Precision Medicine Research",No.2017YFC0908304.

摘　　要：BACKGROUND Gastric bronchogenic cysts(BCs)are extremely rare cystic masses caused by abnormal development of the respiratory system during the embryonic period.Gastric bronchial cysts are rare lesions first reported in 1956;as of 2019,only 37 cases are available in the MEDLINE/PubMed online databases.BCs usually have no clinical symptoms in the early stage,and their imaging findings also lack specificity.Therefore,they are difficult to diagnose before histopathological examination.CASE SUMMARY A 55-year-old woman presented at our hospital with intermittent epigastric pain.She had a slightly high level of serum carbohydrate antigen 72-4(CA 72-4).Endoscopic ultrasound found that a cystic mass originated from the submucosa of the posterior gastric wall near the cardia,indicating a diagnosis of cystic hygroma of the stomach.Furthermore,a computed tomography scan demonstrated a quasi-circular cystic mass closely related to the lesser curvature of the gastric fundus with a low density.Because the imaging examinations did not suggest a malignancy and the patient required complete resection,she underwent laparoscopic surgery.As an intraoperative finding,this cystic lesion was located in the posterior wall of the fundus and contained some yellow viscous liquid.Finally,the pathologists verified that the cyst in the fundus was a gastric BC.The patient recovered well with normal CA 72-4 levels,and her course was uneventful at 10 mo.CONCLUSION This is a valuable report as it describes an extremely rare case of gastric BC.Moreover,this is the first case of BC to present with elevated CA 72-4 levels.

关 键 词：Bronchogenic CYST STOMACH SUBMUCOSAL LESION Endoscopic ultrasoundguided fine needle ASPIRATION ENDOSONOGRAPHY Case report 

分 类 号：R735.2[医药卫生—肿瘤]