Johnston Jeffrey, Wheatley Grayson H, El Sayed Hosam F, Marsh William B, Ellison E Christopher, Bloomston Mark
Department of Surgery, Ohio State University Medical Center, Columbus, Ohio, USA.
Am Surg. 2008 Jan;74(1):91-4.
Gastric duplication cysts in adults are very rare and usually found incidentally during evaluation for an unrelated ailment. When they are found in close proximity to the pancreas, they can be confused with cystic neoplasms of the pancreas, which are typically also asymptomatic yet more common. As part of the evaluation of cystic pancreatic lesions, cyst fluid analysis for carcinoembryonic antigen (CEA) is undertaken to determine malignant potential. Herein we present two cases of cystic lesions thought to arise from the pancreas found to have elevated preoperative cystic CEA levels. At operation, they were found to be gastric duplication cysts and were resected. We report the histologic findings and review of the current literature.
成人胃重复囊肿非常罕见，通常在评估无关疾病时偶然发现。当它们位于胰腺附近时，可能会与胰腺囊性肿瘤混淆，胰腺囊性肿瘤通常也无症状，但更为常见。作为胰腺囊性病变评估的一部分，会进行癌胚抗原（CEA）囊液分析以确定恶性潜能。在此，我们报告两例被认为起源于胰腺的囊性病变，术前囊液CEA水平升高。手术时发现它们是胃重复囊肿并进行了切除。我们报告组织学检查结果并回顾当前文献。
