Catheter-based drainage and agitation for definitive cytological diagnosis of a ciliated hepatic foregut cyst in a child.
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.
Young
Adam S
AS
Children's Radiological Institute, Columbus Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA.
Nicol
Kathleen K
KK
Teich
Steven
S
Ii
William E Shiels
WE
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
D002272:Carcinoembryonic Antigen; D014746:Vimentin; D007633:Keratins