Gastric bronchogenic cyst diagnosed by endosonographically guided fine needle aspiration biopsy

✍ Scribed by Masaki Sato; Atsushi Irisawa; Manoop S. Bhutani; Vicki Schnadig; Tadayuki Takagi; Goro Shibukawa; Takeru Wakatsuki; Hidemichi Imamura; Yuta Takahashi; Ai Sato; Takuto Hikichi; Katsutoshi Obara; Yuko Hashimoto; Kazuo Watanabe; Hiromasa Ohira

• Publisher: John Wiley and Sons
• Year: 2008
• Tongue: English
• Weight: 260 KB
• Volume: 36
• Category: Article
• ISSN: 0091-2751
• DOI: 10.1002/jcu.20425

✦ Synopsis

Abstract

 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. © 2007 Wiley Periodicals, Inc. J Clin Ultrasound, 2008