Mucinous cystadenoma arising in an isolated ileal duplication cyst

A 64-year-old woman with a 2-year history of bilateral breast carcinoma with axillary node metastasis and chemotherapy was admitted to our hospital due to tumor attached to the ileum, discovered during the routine control examination. Computerized axial tomography showed oval cystic tumor in termina...

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Bibliographic Details
Published in:Journal of gastrointestinal cancer 2007-12, Vol.38 (2-4), p.127-130
Main Authors: Tomas, Davor, Zovak, Mario, Cicek, Slaven, Sulentić, Petra, Jukić, Zoran, Kruslin, Bozo
Format: Article
Language:English
Subjects:
Cystadenoma, Mucinous - pathology
Cystadenoma, Mucinous - surgery
Cysts - pathology
Cysts - surgery
Diagnosis, Differential
Female
Humans
Ileal Neoplasms - pathology
Ileal Neoplasms - surgery
Middle Aged
Tomography, X-Ray Computed
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Summary:A 64-year-old woman with a 2-year history of bilateral breast carcinoma with axillary node metastasis and chemotherapy was admitted to our hospital due to tumor attached to the ileum, discovered during the routine control examination. Computerized axial tomography showed oval cystic tumor in terminal ileum that measured 7 cm in the largest diameter and shared peritoneal coat with small intestine and was filled with dense fluid. Tumor abutted intestine but did not communicate with intestinal lumen. The surgical procedure was simple because cyst was attached to the antimesenteric side of the terminal ileum and did not communicate with the adjacent intestine. Pathohistological examination showed mucinous cystadenoma with high-grade epithelial dysplasia in the isolated ileal duplication cyst. The presence of epithelial dysplasia found in duplication cyst suggested potential to undergo malignant transformation. In conclusion, we report a unique case of mucinous cystadenoma arising in isolated ileal duplication cyst. This case report expands the potential range of clinical variability of alimentary tract duplications. Surgical removal of alimentary tract duplication in patients without symptoms is also recommended because many potential complications or even malignant transformation may result from these anomalies.
ISSN:1941-6628
1941-6636
DOI:10.1007/s12029-008-9023-1