Histopathological and clinical evaluations of congenital rare cystic lesions of the gastrointestinal tract
Küçük Resim Yok
Tarih
2019
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Pamukkale University
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Purpose: Congenital cysts originating from the gastrointestinal tract are very rare. The mesenteric-omental cysts, lymphangioma, enteric duplication cysts, Meckel diverticulum/omphalomesenteric duct cysts are defined as congenital cysts of the gastrointestinal origin. Cystic masses originating from gastrointestinal system have different clinical and histopathological features. Cystic masses are usually asymptomatic and are detected incidentally or operated urgently when complications occur. Preoperative radiological methods are used to differentiate benign cysts and neoplastic masses. Histopathological examination is required for definitive diagnosis. In this study, the clinical, histopathological features and differential diagnoses of the intraabdominal congenital benign cystic lesions originating from the gastrointestinal system were evaluated. Materials and methods: The archives of the Department of Pathology were reviewed and 55 cases which were non-neoplastic lesions originating from the stomach, small-large intestine and mesenteric-omentum were included in the study. Result: The cases were evaluated according to age, sex, clinical findings, location, and histopathological features. Meckel diverticulum (n:33) was the most common cystic lesion originating from the gastrointestinal tract. Mesothelial/omental cysts (n:8), cystic lymphangiomas (n:7), duplication cysts (n:6) and omphalomesenteric duct cysts (n:1) were seen according to the incidence of the cases. Abdominal pain was the most common cause of complaints. Conclusion: Whatever the origin of cysts, specific typing is indicated by histopathological evaluation of lesions (whether epithelium is present, type of epithelium). The most important problem with cysts located in the gastrointestinal tract is that these cysts sometimes cannot be differentiated from neoplastic masses or parasitic cyst. Cystic masses with different developmental characteristics should be considered in the differential diagnosis of patients presenting with abdominal pain, palpated mass in the physical examination and intraabdominal cystic masses detected on radiological imaging. © 2019, Pamukkale University. All rights reserved.
Açıklama
Anahtar Kelimeler
duplication cysts, lymphangioma, Meckel diverticulum, Mesothelial/omental cysts, omphalomesenteric duct cyst
Kaynak
Pamukkale Medical Journal
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
12
Sayı
3