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Giant retroperitoneal bronchogenic cyst mimicking a cystic teratoma: A case report

机译:模仿腹膜性畸胎瘤的巨大腹膜后支气管囊肿:一例报告

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摘要

Retroperitoneal bronchogenic cysts (RBCs) are regarded as a rare type of congenital dysplasia disease that stems from the primitive foregut. Thus far, the exact pathogenesis of RBCs remains unknown. Due to an atypical clinical manifestation, RBCs are often incidentally detected and diagnosed by imaging modalities, such as computed tomography and magnetic resonance imaging. However, they are easily misdiagnosed due to their non-specific imaging features. Additionally, the most appropriate treatment strategy for an RBC is considered to be surgical resection. The present study reports the rare case of a 36-year-old female with a large RBC containing fatty fluid that was previously misdiagnosed as liposarcoma or cystic teratoma. Following a complex surgical resection, pathological findings confirmed a diagnosis of RBC. The follow-up examination showed that the patient was in good health at 16 months post-surgery, with no evidence of recurrence. Although rare, bronchogenic cysts must be considered in the differential diagnosis of retroperitoneal teratoma, and surgical resection should be pursued for symptom resolution and to establish a definitive histology.
机译:腹膜后支气管囊肿(RBC)被认为是源于原始前肠的一种罕见的先天性发育异常疾病。到目前为止,红细胞的确切发病机理仍然未知。由于非典型的临床表现,经常通过成像方式(例如计算机断层扫描和磁共振成像)偶然地检测和诊断RBC。但是,由于其非特定的成像功能,很容易导致误诊。此外,RBC最合适的治疗策略被认为是手术切除。本研究报告了罕见的病例,该病例为36岁女性,其大红细胞中含有脂肪液,以前被误诊为脂肪肉瘤或囊性畸胎瘤。经过复杂的手术切除后,病理结果证实了红细胞的诊断。随访检查表明该患者术后16个月身体健康,无复发迹象。尽管很少见,但在腹膜后畸胎瘤的鉴别诊断中必须考虑支气管囊肿,并应进行手术切除以缓解症状并建立明确的组织学。

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