ABSTRACT
Cistos neuroentéricos espinhais são anomalias do desenvolvimento, mais comumente encontrados no mediastino posterior e raramente presentes no sistema nervoso central. Geralmente localizados na coluna cervicotorácica. Principalmente encontrados em pacientes jovens e com predomínio no sexo masculino (2:1). Várias hipóteses têmsido sugeridas para explicar a embriogênese dos cistos neuroentéricos, entre elas a mais aceita seria uma incompleta separação entre o ectoderma e o endoderma. Manifesta-se principalmente como dorsalgia e déficit neurológico progressivo. Alguns pacientes apresentam surtos de dor e déficits transitórios. A ressecção completa da lesão, com esvaziamento do cisto e remoção do envoltório, é o tratamento de eleição. As principais complicações pósoperatórias são a recidiva da lesão, aracnoidite e piora do déficit neurológico.
Developmental abnormalities aremore commonly found in the posterior mediastinum and rarely present in the central nervous system. Usually located in the cervical and thoracic spine. Mainly found in young patients with predominance in males (2:1). Several hypotheses have been suggested to explain the embryogenesis of neuroentéricos cysts, including the most accepted would be an incomplete separation between the ectoderm and endoderm. It manifests primarily as back pain and progressive neurological deficits. Some patients experience bouts of pain and transient deficits. Complete resection of the lesion with dissection of the cyst and removing the wrap, is the treatment of choice. The main postoperative complications are recurrence of injury, arachnoiditis and worsening of neurological deficit.
Subject(s)
Humans , Female , Adult , Spinal Dysraphism , Neural Tube Defects/surgery , Neural Tube Defects/complications , LaminectomyABSTRACT
Alimentary tract duplications are uncommon congenital abnormalities that usually have an anatomical connection with some part of the gastrointestinal tract and have a common blood supply with the adjacent segment of intestine. A completely isolated duplication cyst (CIDC) is a very rare type of gastrointestinal duplication that does not communicate with the normal bowel segment and possesses its own exclusive blood supply. Only 5 CIDC cases in adults have been reported in the English medical literature. Additionally, only 1 case of mucinous cystadenoma from an infected CIDC of the ileum has been reported. This report describes a 52-year-old male patient with a peritoneal CIDC, which upon curative excision was found to have given rise to an adenocarcinoma. The latter was lined internally with malignant glandular cells and contained a smooth muscular outer layer as determined by microscopic examination of the tissue. We believe that this is the first reported case of an adenocarcinoma originating from a CIDC in an adult.
Subject(s)
Adult , Humans , Male , Middle Aged , Adenocarcinoma , Congenital Abnormalities , Cystadenoma, Mucinous , Gastrointestinal Tract , Ileum , Intestines , MesenteryABSTRACT
We present a rare case of an enterogenous cyst of the testis in a 21-year-old man. On ultrasonography, an ovoid hypoechoic solid mass (2x2x1.5 cm) was confined to the right testis. The left testis and bilateral epididymis were within normal limits. Grossly, the tumor was a unilocular cystic mass, without a solid component. Microscopically, the cystic mass was composed of mucin-secreting simple columnar epithelial lining cells, lamina propria and a well-differentiated muscularis propria. There was no evidence of any germ cell derivatives or neoplasia in the cystic mass and in the surrounding testicular parenchyma. Immunohistochemistry showed a positive reaction for cytokeratin and the epithelial membrane antigen in the epithelial lining; in addition, it was positive for smooth muscle actin in the well-differentiated muscularis propria.
Subject(s)
Humans , Male , Young Adult , Actins , Epididymis , Germ Cells , Immunohistochemistry , Keratins , Mucin-1 , Mucous Membrane , Muscle, Smooth , Testis , UltrasonographyABSTRACT
Objective To improve the diagnosis and treatment of neurenteric cyst. Methods The clinical manifestations, MRI characteristics and surgical results of 11 cases of intraspinal neurenteric cysts were analyzed. Results Positive pathological signs and paresis appeared in all cases, and radicular pain in 9 cases. The symptoms were episodic in 2 cases whose courses were more than 3 years. MRI could clearly demonstrate the exact extension of the cyst and the surrounding structures. These cysts showed as slightly long T 1, long T 2 homogeneous signal on MRI. Their neurological functions improved steadily after complete resection in 8 cases, subtotal resection in 3 cases. Conclusion Neurenteric cysts are rare congenital lesions, often associated with vertebral anomalies and occurred at subdural cervical location, anterior to the cord. MRI is a more effective and convenient method for neurenteric cyst image investigation. Total or subtotal resection of neurenteric cysts with subsequent recovery in neurological function is usually possible.
ABSTRACT
Objective To explore MRI features of spinal canal enterogenous cysts.Methods The MRI features and differential diagnosis of 5 patients with spinal canal enterogenous cysts proved by surgery and pathology were reviewed retrospectively in combination with literature review.Results Of 5 cases,the cysts localized at cervical spine in 2,lumbar spine in 1,lumbosacral spine in 1 and the end of coccyx between rectum and cuticulum in 1.4 cysts were located at subdura,including anterior to the spinal cord in 3 and posterior to the spinal cord in 1.1 cyst located the end of coccyx between rectum and cuticulum was uncommunicated with spinal canal and 1 case associated with diastematomyelia.The spinal cords were compressed and displaced.The cysts were iso or slightly hyperintensity compared to CSF on T1WI,and similar intensity to CSF on T2WI.The cysts had no markedly enhancement on contrast-enhanced MR scan.Conclusion MRI has important value in diagnosing spinal enterogenous cysts.
ABSTRACT
A 4-year-old boy presented with a cervical enterogenous cyst manifesting as right arm pain. Neurological examination revealed weakness of his right upper extremities and increased deep tendon reflexes. This isolated, cervical intraspinal enterogenous cyst was treated successfully by posterior laminectomy, intradural exploration, and subtotal resection. He made a good recovery without additional neurological deficits. A brief overview is given of this rare cyst, together with their clinical, pathological, radiological features and associated findings.
Subject(s)
Child, Preschool , Humans , Male , Arm , Laminectomy , Neurologic Examination , Reflex, Stretch , Spine , Upper ExtremityABSTRACT
The case of an 33-year-old man with an intradural and extramedullary enterogenous cyst in the thoracic spinal canal is presented. Enterogenous cysts are rare cystic tumors located in the spinal canal and causing spinal compression, and about half of the cases of enterogenous cysts are associated with congenital anomalies. This patient, however, had no vertebral anomaly or other evidence of congenital melformation. We reviewed literatures and recorded the distinguished features of intraspinal enterogenous cysts and discuss the clinical, radiological and histological findings.
Subject(s)
Adult , Humans , Spinal CanalABSTRACT
Enterogenous cyst is a rare cause of spinal cord compression. It is resulted from dysembriogenetic error developed at the third week of the embryo life. A case of 17-year-old male with an intradural extramedullary enterogenous cyst of the cervical cord is presented. In appeared as a mass of low-intensity signal in comparison with the spinal cord on magnetic resonance imaging. Histologically, it was confirmed by epithelium which was composed of single pseudostratified mucus-secreting cuboidal or columnar cell with hyalinized fibrous wall. Total removal was possible without complications. The clinical and radiological findings and it's morphogenesis are discussed with a review of the literature.
Subject(s)
Adolescent , Humans , Male , Embryonic Structures , Epithelium , Hyalin , Magnetic Resonance Imaging , Morphogenesis , Spinal Cord , Spinal Cord CompressionABSTRACT
An enterogenous cyst lying ventral to the spinal cord in the lower cervical region is presented in a woman aged 56 years. The clinical course and radiological and histological findings are discussed.
Subject(s)
Female , Humans , Deception , Magnetic Resonance Imaging , Spinal Cord , Spinal Cord CompressionABSTRACT
Although varying types of cystic lesion, true to false, in the spinal cord have been described, spinal enterogenous cyst is a rare condition. It is considered as a result of congenital remnant of primitive foregut. The authors experienced a case of a spinal enterogenous cyst in the intradural space along the fouth, fifth and sixth cervical spine, occurred in a twenty-seven years old male patient. The cyst was composed of hyalinized fibrous wall with single layered lining epithelium, such as simple non-ciliated cuboidal epithelium or ciliated tall columnar epithelium with focal mucinous columnar epithelium.