Gastric bronchogenic cyst diagnosed by endosonographically guided fine needle aspiration biopsy.
We report a case of a gastric bronchogenic cyst diagnosed via endosonographically guided fine-needle aspiration (EUS-FNA) biopsy. A 60-year-old woman was referred to our hospital for an endoscopic ultrasound (EUS) examination because of a gastric subepithelial lesion detected by upper gastrointestinal endoscopy. EUS examination revealed a lesion that appeared to originate from the gastric submucosa but seemed to extend beyond the gastric wall. The latter finding raised concerns that the lesion might represent a cystic neoplasm rather than a simple cyst. Subsequently, EUS-FNA was performed to establish a definitive diagnosis and to guide further management. Cytologic evaluation of aspirated material revealed the presence of benign-appearing ciliated columnar epithelial cells within a mucinous background. Based on imaging and EUS-FNA findings, a diagnosis of gastric bronchogenic cyst was made and surgical resection was avoided.
Sato
Masaki
M
Department of Internal Medicine 2, Fukushima Medical University School of Medicine, 1 Hikarigaoka, Fukushima City, 960-1295, Japan.
Irisawa
Atsushi
A
Bhutani
Manoop S
MS
Schnadig
Vicki
V
Takagi
Tadayuki
T
Shibukawa
Goro
G
Wakatsuki
Takeru
T
Imamura
Hidemichi
H
Takahashi
Yuta
Y
Sato
Ai
A
Hikichi
Takuto
T
Obara
Katsutoshi
K
Hashimoto
Yuko
Y
Watanabe
Kazuo
K
Ohira
Hiromasa
H
D044963:Biopsy, Fine-Needle; D001994:Bronchogenic Cyst / Q000000981:diagnostic imaging / Q000473:pathology*; D019160:Endosonography; D005260:Female; D006801:Humans; D008875:Middle Aged; D013272:Stomach Diseases / Q000000981:diagnostic imaging / Q000473:pathology*; D018084:Ultrasonography, Interventional