Tu Chaoyong, Zhu Jingde, Shao Chuxiao, Mao Weibo, Zhou Xingmu, Lin Qiaomei, Li Zhukai, Zhang Jie, Zhou Qingyue, Chen Wei
Department of General Surgery, Lishui Central Hospital, Lishui, Zhejiang 323000, P.R. China.
Department of Pathology, Lishui Central Hospital, Lishui, Zhejiang 323000, P.R. China.
Exp Ther Med. 2016 Apr;11(4):1265-1270. doi: 10.3892/etm.2016.3067. Epub 2016 Feb 10.
Gastric bronchogenic cysts are rare lesions, first described in 1956, with only 34 cases reported in the literature to date. The present study described a case of bronchogenic cyst of the stomach in a 17-year-old female who presented with periodic epigastric pain. In addition, the study analyzed the existing literature on these lesions. Gastric bronchogenic cysts are more common in females (female:male ratio, 21:14) and the median age of their development is 43 years. In total, 48.57% of the 34 previously reported cases were identified incidentally, and the remainder presented mainly with epigastric pain. Cyst sizes varied between 1.7 and 15 cm. In 3 cases, preoperative diagnosis was performed using needle biopsy, whereas several studies were initially misdiagnosed as stromal tumors. In 85% of the cases (31/35), cyst resection was performed, with laparoscopy used in 4 of the cases. The findings of the present study and literature review suggested that bronchogenic cysts of the stomach are rare, and surgical resection is warranted to treat symptoms and prevent malignant transformation.
胃支气管源性囊肿是一种罕见的病变，于1956年首次被描述，迄今为止文献中仅报道了34例。本研究描述了一例17岁女性胃支气管源性囊肿病例，该患者表现为周期性上腹部疼痛。此外，该研究分析了关于这些病变的现有文献。胃支气管源性囊肿在女性中更为常见（女性与男性比例为21:14），其发病的中位年龄为43岁。在之前报道的34例病例中，共有48.57%是偶然发现的，其余主要表现为上腹部疼痛。囊肿大小在1.7至15厘米之间。3例术前通过针吸活检进行了诊断，而有几项研究最初被误诊为间质瘤。85%的病例（31/35）进行了囊肿切除术，其中4例采用了腹腔镜手术。本研究及文献综述结果表明，胃支气管源性囊肿罕见，手术切除对于治疗症状和预防恶变是必要的。
