Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
권호 표지
DOI QR코드

DOI QR Code

Cystic Lesions of the Gastrointestinal Tract: Multimodality Imaging with Pathologic Correlations

  • Lee, Jong-Mee (Department of Radiology, Korea University Guro Hospital, Korea University College of Medicine) ;
  • Park, Cheol-Min (Department of Radiology, Korea University Guro Hospital, Korea University College of Medicine) ;
  • Kim, Kyeong-Ah (Department of Radiology, Korea University Guro Hospital, Korea University College of Medicine) ;
  • Lee, Chang-Hee (Department of Radiology, Korea University Guro Hospital, Korea University College of Medicine) ;
  • Choi, Jae-Woong (Department of Radiology, Korea University Guro Hospital, Korea University College of Medicine) ;
  • Shin, Bong-Kyung (Department of Pathology, Korea University Guro Hospital, Korea University College of Medicine) ;
  • Lee, Soon-Jin (Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Choi, Don-Gil (Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Jang, Kee-Taek (Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • Received : 2009.10.26
  • Accepted : 2010.03.24
  • Published : 2010.08.01
⟨ Previous Next ⟩

Abstract

The cystic lesions of the gastrointestinal (GI) tract demonstrate the various pathologic findings. Some lesions may present a diagnostic challenge because of non-specific imaging features; however, other lesions are easily diagnosed using characteristic radiologic features and anatomic locations. Cystic masses from the GI tract can be divided into several categories: congenital lesions, neoplastic lesions (cystic neoplasms, cystic degeneration of solid neoplasms), and other miscellaneous lesions. In this pictorial review, we describe the pathologic findings of various cystic lesions of the GI tract as well as the radiologic features of GI cystic lesions from several imaging modalities including a barium study, transabdominal ultrasound (US), computed tomography (CT), and magnetic resonance (MR) imaging.

Keywords

References

  1. Macpherson RI. Gastrointestinal tract duplications: clinical, pathologic, etiologic, and radiologic considerations. Radiographics 1993;13:1063-1080 https://doi.org/10.1148/radiographics.13.5.8210590
  2. Bower RJ, Sieber WK, Kiesewetter WB. Alimentary tract duplications in children. Ann Surg 1978;188:669-674 https://doi.org/10.1097/00000658-197811000-00015
  3. Theodosopoulos T, Marinis A, Karapanos K, Vassilikostas G, Dafnios N, Samanides L, et al. Foregut duplication cysts of the stomach with respiratory epithelium. World J Gastroenterol 2007;13:1279-1281 https://doi.org/10.3748/wjg.v13.i8.1279
  4. Kangarloo H, Sample WF, Hansen G, Robinson JS, Sarti D. Ultrasonic evaluation of abdominal gastrointestinal tract duplication in children. Radiology 1979;131:191-194 https://doi.org/10.1148/131.1.191
  5. Wang C, Kuo Y, Yeung K, Wu C, Liu G. CT appearance of ectopic pancreas: a case report. Abdom Imaging 1998;23:332- 333 https://doi.org/10.1007/s002619900351
  6. Levine MS. Benign tumors of the stomach and duodenum. In: Gore RM, Levine MS, eds. Textbook of gastrointestinal radiology, 3rd ed. Philadelphia, PA: Saunders Elsevier, 2008:593-617
  7. Cho JS, Shin KS, Kwon ST, Kim JW, Song CJ, Noh SM, et al. Heterotopic pancreas in the stomach: CT findings. Radiology 2000;217:139-144 https://doi.org/10.1148/radiology.217.1.r00oc09139
  8. Lopez-Pelaez MS, Hoyos FB, Isidro MG, Unzurrunzaga EA, Lopez Ede V, Collazo YQ. Cystic dystrophy of heterotopic pancreas in stomach: radiologic and pathologic correlation. Abdom Imaging 2008;33:391-394 https://doi.org/10.1007/s00261-007-9275-4
  9. Park SH, Han JK, Choi BI, Kim M, Kim YI, Yeon KM, et al. Heterotopic pancreas of the stomach: CT findings correlated with pathologic findings in six patients. Abdom Imaging 2000;25:119-123 https://doi.org/10.1007/s002619910028
  10. Dachman AH, Lichtenstein JE, Friedman AC. Mucocele of the appendix and pseudomyxoma peritonei. AJR Am J Roentgenol 1985;144:923-929 https://doi.org/10.2214/ajr.144.5.923
  11. Fenoglio-Preiser CM. Gastrointestinal pathology: an atlas and text, 3rd ed. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins, 2008
  12. Pickhardt PJ, Levy AD, Rohrmann CA Jr, Kende AI. Primary neoplasms of the appendix: radiologic spectrum of disease with pathologic correlation. Radiographics 2003;23:645-662 https://doi.org/10.1148/rg.233025134
  13. Sasaki K, Ishida H, Komatsuda T, Suzuki T, Konno K, Ohtaka M, et al. Appendiceal mucocele: sonographic findings. Abdom Imaging 2003;28:15-18 https://doi.org/10.1007/s00261-001-0175-8
  14. Zhu H, Wu ZY, Lin XZ, Shi B, Upadhyaya M, Chen K. Gastrointestinal tract lymphangiomas: findings at CT and endoscopic imaging with histopathologic correlation. Abdom Imaging 2008;33:662-668 https://doi.org/10.1007/s00261-007-9354-6
  15. Agha FP, Francis IR, Simms SM. Cystic lymphangioma of the colon. AJR Am J Roentgenol 1983;141:709-710 https://doi.org/10.2214/ajr.141.4.709
  16. Fletcher CD, Berman JJ, Corless C, Gorstein F, Lasota J, Longley BJ, et al. Diagnosis of gastrointestinal stromal tumors: a consensus approach. Hum Pathol 2002;33:459-465 https://doi.org/10.1053/hupa.2002.123545
  17. Levy AD, Remotti HE, Thompson WM, Sobin LH, Miettinen M. Gastrointestinal stromal tumors: radiologic features with pathologic correlation. Radiographics 2003;23:283-304 https://doi.org/10.1148/rg.232025146
  18. Levy AD, Quiles AM, Miettinen M, Sobin LH. Gastrointestinal schwannomas: CT features with clinicopathologic correlation. AJR Am J Roentgenol 2005;184:797-802 https://doi.org/10.2214/ajr.184.3.01840797
  19. Hou YY, Tan YS, Xu JF, Wang XN, Lu SH, Ji Y, et al. Schwannoma of the gastrointestinal tract: a clinicopathological, immunohistochemical and ultrastructural study of 33 cases. Histopathology 2006;48:536-545 https://doi.org/10.1111/j.1365-2559.2006.02370.x
  20. Miettinen M, Shekitka KM, Sobin LH. Schwannomas in the colon and rectum: a clinicopathologic and immunohistochemical study of 20 cases. Am J Surg Pathol 2001;25:846-855 https://doi.org/10.1097/00000478-200107000-00002
  21. Fujii Y, Taniguchi N, Hosoya Y, Yoshizawa K, Yasuda Y, Nagai H, et al. Gastric schwannoma: sonographic findings. J Ultrasound Med 2004;23:1527-1530 https://doi.org/10.7863/jum.2004.23.11.1527
  22. Franzin G, Novelli P. Gastritis cystica profunda. Histopathology 1981;5:535-547 https://doi.org/10.1111/j.1365-2559.1981.tb01817.x
  23. Kurland J, DuBois S, Behling C, Savides T. Severe upper-GI bleed caused by gastritis cystica profunda. Gastrointest Endosc 2006;63:716-717 https://doi.org/10.1016/j.gie.2005.11.027
  24. Wu MT, Pan HB, Lai PH, Chang JM, Tsai SH, Wu CW. CT of gastritis cystica polyposa. Abdom Imaging 1994;19:8-10 https://doi.org/10.1007/BF02165852
  25. Giacosa A. Morphometry of normal duodenal mucosa. Scand J Gastroenterol Suppl 1989;167:10-12
  26. Levine MS. Benign tumors of the stomach and duodenum. In: Gore RM, Levine MS, eds. Textbook of gastrointestinal radiology, 3rd ed. Philadelphia, PA: Saunders Elsevier, 2008:593-617
  27. Patel ND, Levy AD, Mehrotra AK, Sobin LH. Brunner's gland hyperplasia and hamartoma: imaging features with clinicopathologic correlation. AJR Am J Roentgenol 2006;187:715-722 https://doi.org/10.2214/AJR.05.0564
  28. Stolpman DR, Hunt GC, Sheppard B, Huang H, Gopal DV. Brunner's gland hamartoma: a rare cause of gastrointestinal bleeding -- case report and review of the literature. Can J Gastroenterol 2002;16:309-313 https://doi.org/10.1155/2002/797934
  29. Block KP, Frick TJ, Warner TF. Gastrointestinal bleeding from a Brunner's gland hamartoma: characterization by endoscopy, computed tomography, and endoscopic ultrasound. Am J Gastroenterol 2000;95:1581-1583 https://doi.org/10.1111/j.1572-0241.2000.02124.x

Cited by

  1. Comparison of Clinico-Radiological Features between Congenital Cystic Neuroblastoma and Neonatal Adrenal Hemorrhagic Pseudocyst vol.12, pp.1, 2010, https://doi.org/10.3348/kjr.2011.12.1.52
  2. Gastritis Cystica Polyposa in the Unoperated Stomach: A Case Report vol.67, pp.4, 2010, https://doi.org/10.3348/jksr.2012.67.4.253
  3. AIRP Best Cases in Radiologic-Pathologic Correlation: Gastritis Cystica Polyposa vol.33, pp.1, 2013, https://doi.org/10.1148/rg.331115178
  4. Imaging, endoscopy, and pathologic findings of primary gastritis cystica polyposa: description of a rare entity in a small case series vol.41, pp.11, 2016, https://doi.org/10.1007/s00261-016-0821-9
  5. Laparoscopic resection of adult colon duplication causing intussusception vol.22, pp.7, 2010, https://doi.org/10.3748/wjg.v22.i7.2398
  6. Brunner's gland cyst in combination with gastrointestinal stromal tumor: A case report vol.11, pp.5, 2010, https://doi.org/10.3892/ol.2016.4382
  7. Non‐communicating gastric duplication cyst in a 10‐week‐old Labrador Retriever puppy vol.94, pp.5, 2010, https://doi.org/10.1111/avj.12427
  8. Imaging findings of gastric plexiform fibromyxoma with a cystic change : A case report and review of literature vol.96, pp.52, 2010, https://doi.org/10.1097/md.0000000000008967
  9. Perirectal Cystic Lesions - Comprehensive CT and MRI Findings vol.23, pp.4, 2010, https://doi.org/10.13104/imri.2019.23.4.283
  10. Pictorial Review of Mediastinal Masses with an Emphasis on Magnetic Resonance Imaging vol.21, pp.None, 2010, https://doi.org/10.3348/kjr.2019.0897
  11. Multiple, large intra-abdominal cystic lesions and iron deficiency anaemia as the presenting symptoms of SDHD gastrointestinal stromal tumour (GIST) in a young sub-Saharan woman vol.14, pp.9, 2010, https://doi.org/10.1136/bcr-2021-242146
  12. Ultrasound and alternative multimodality imaging of intra-abdominal and pelvic cystic masses in the newborn vol.29, pp.4, 2010, https://doi.org/10.1177/1742271x20984814