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Intraoperative Gastroscopy for Tumor Localization in Laparoscopic Surgery for Gastric Adenocarcinoma
Published on: August 9, 2016
Papillary Adenocarcinoma in a Gastric Duplication Cyst
Sonali Sethi1, Satyajit Godhi2, Sunil Kumar Puri3
1Prima Diagnostic Centre, Bengaluru, India.
Insights
Gastric duplication cysts are rare, but malignancy can occur in adults. This report details a rare case of gastric duplication cyst with papillary adenocarcinoma in India, emphasizing preoperative diagnosis via CT scan.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Pathology
Background:
- Gastric duplication cysts (GDCs) are congenital anomalies, typically presenting in infancy.
- Adult GDCs often manifest with complications like obstruction, bleeding, or ulceration.
- Malignant transformation within GDCs is exceptionally rare, with limited documented cases.
Abstract:
Gastric duplication cysts are rare and mostly present in the first year of life. In adulthood presentation is in the form of obstruction, ulceration, bleeding, fistulization etc. Malignancy is extremely rare with only 12 cases reported to date. We came across a gastric duplication cyst with papillary adenocarcinoma in a 63 year old man. He underwent cyst excision with radical subtotal gastrectomy. The awareness of such a condition made it possible for us to have a suspicion of malignancy preoperatively based on imaging and thus a radical surgery was performed. High index of suspicion is necessary to diagnose this condition preoperatively on CT scan. Literature review revealed that this is the first case to be reported from India.
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