Radyoloji Ultrason Bölümü, Aydin Atatürk Devlet Hastanesi, 09010 Aydin, Turkey.
Jpn J Radiol. 2013 Jun;31(6):412-8. doi: 10.1007/s11604-013-0196-6. Epub 2013 Mar 27.
Ciliated foregut cysts (CFCs) are rare masses that develop from the tissues which remain from embryological foregut development. In the literature, about a hundred cases have been described in various organs so far. Although rare, there is a risk of development of squamous cell carcinoma from these cysts that typically bear benign features. Prognosis following the development of carcinoma is poor. A female case presented with upper quadrant pain and was sent to radiology for US examination of the abdomen. In 2010, a cyst which was about 5 mm in size was detected on the wall of the gall bladder. In subsequent US, the lesion reached 7 mm in diameter and a shape protruding to the lumen was included in the findings; therefore, it was decided to operate. The mass was diagnosed as a CFC of the gallbladder. We determined that the lesion had the smallest dimension noted in the literature. Congenital gallbladder cysts are detected rather rarely. The US characteristics are enough to make a definitive diagnosis, and the other imaging methods therefore remain unnecessary. Treatment using a laparoscopic surgical method is the first preference.
纤毛性前肠囊肿（Ciliated foregut cysts，CFCs）是一种罕见的肿块，由胚胎前肠发育过程中遗留的组织发展而来。迄今为止，文献中已经描述了大约一百例发生在各种器官的病例。尽管罕见，但这些囊肿有发展为鳞状细胞癌的风险，其通常具有良性特征。一旦发展为癌，预后较差。一名女性患者因上腹痛就诊，并被转至放射科进行腹部超声检查。2010 年，在胆囊壁上发现一个约 5 毫米大小的囊肿。在随后的超声检查中，病变直径达到 7 毫米，并发现病变向管腔突出；因此，决定进行手术。该肿块被诊断为胆囊的 CFC。我们确定了文献中报道的最小尺寸的病变。先天性胆囊囊肿的检出率相当低。超声特征足以做出明确诊断，因此其他影像学方法仍然不必要。使用腹腔镜手术方法治疗是首选。
