title: Catheter-based drainage and agitation for definitive cytological diagnosis of a ciliated hepatic foregut cyst in a child.
abstract: Ciliated hepatic foregut cyst (CHFC) is an uncommon lesion, which rarely presents in the pediatric population. It is congenital in origin and manifests because of the migration of a bronchiolar bud of the foregut through the pleuroperitoneal canal. CHFC is accompanied by a broad list of differential diagnoses and is difficult to diagnose by means of radiologic evaluation. Therefore, fine-needle aspiration with cytology has been used in an attempt to diagnose this lesion. In previously reported cases, this approach has been moderately successful in the diagnosis of CHFC, while in others, no definitive diagnosis was achieved because of the retrieval of scattered, irregular cells insufficient for cytologic evaluation. We report a case of a 16-year-old girl who presented with a CHFC and discuss a promising alternative for obtaining large, intact cellular specimens to facilitate cytologic evaluation and definitive diagnosis.
authors: Children's Radiological Institute, Columbus Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA.
authors: Adam S
authors: AS
authors: Young
authors: Kathleen K
authors: KK
authors: Nicol
authors: Steven
authors: S
authors: Teich
authors: William E Shiels
authors: WE
authors: Ii
mesh_terms: D000293:Adolescent; D002272:Carcinoembryonic Antigen / Q000378:metabolism; D002404:Catheterization; D003560:Cysts / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000378:metabolism / Q000473:pathology; D004322:Drainage; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007150:Immunohistochemistry; D007633:Keratins / Q000378:metabolism; D008107:Liver Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000378:metabolism / Q000473:pathology; D008279:Magnetic Resonance Imaging; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014746:Vimentin / Q000378:metabolism
chemical_list: D002272:Carcinoembryonic Antigen; D014746:Vimentin; D007633:Keratins