Mantoo S K, Mak K, Raju G C
Department of Surgery, Alexandra Hospital, Singapore.
Singapore Med J. 2008 Nov;49(11):e325-6.
Enterogenous cyst is a rare congenital lesion presumably of endodermal derivation. It is usually located in the medistinum, the abdominal cavity, skull or within the spinal canal. To our knowledge, it has not been reported in the subcutaneous tissue. We report the first case of ectopic (left scapular region) subcutaneous enterogenous cyst in a 46-year-old man, who presented with a lump over the left scapular region of several years' duration. Clinical diagnosis of lipoma was made. The final histological diagnosis was enterogenous cyst. Enterogenous cysts at ectopic locations should be kept in mind and studied further especially with respect to their development. A better understanding of the embryology, histopathology and genetics of ectopic enterogenous cyst is desired.
肠源性囊肿是一种罕见的先天性病变,推测起源于内胚层。它通常位于纵隔、腹腔、颅骨或椎管内。据我们所知,尚未有在皮下组织中报道的病例。我们报告首例异位(左肩胛区)皮下肠源性囊肿,患者为一名46岁男性,其左肩胛区出现一个持续数年的肿块。临床诊断为脂肪瘤。最终组织学诊断为肠源性囊肿。应牢记异位部位的肠源性囊肿并进一步研究,尤其是关于其发育方面应进一步研究。需要更好地了解异位肠源性囊肿的胚胎学、组织病理学和遗传学。