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Gastric duplication cyst lined by pseudostratified columnar ciliated epithelium: a case report and literature review
Authors:Wu Jiang  Bo Zhang  Yan-biao Fu  Jia-wei Wang  Shun-liang Gao  Su-zhan Zhang  Yu-lian Wu
Institution:Department of Surgical Oncology, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, China.
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.
Keywords:Gastric duplication cyst (GDC)  Foregut  Pseudostratified columnar ciliated epithelium (PCCE)  Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA)
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