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A Tailgut Cyst Diagnosed by Endoscopic Ultrasound-Guided Fine-Needle Aspiration.

Rathinamanickam H, Pawa S - ACG Case Rep J (2015)

Bottom Line: Only 2 cases of tailgut cyst diagnosed by EUS-guided FNA have been reported.We present a woman in her fourth decade who presented for evaluation of perirectal mass.EUS-guided fine-needle aspiration (FNA) helped establish the diagnosis of tailgut cyst.

View Article: PubMed Central - PubMed

Affiliation: Department of Medicine, Section of Digestive Diseases, Robert C. Byrd Health Sciences Center, West Virginia University, Morgantown, WV.

ABSTRACT
Tailgut cysts are rare developmental cysts. Surgery has been the primary method of diagnosis and treatment of these cysts, but endoscopic ultrasound (EUS) has recently been used to establish diagnosis. Only 2 cases of tailgut cyst diagnosed by EUS-guided FNA have been reported. We present a woman in her fourth decade who presented for evaluation of perirectal mass. EUS-guided fine-needle aspiration (FNA) helped establish the diagnosis of tailgut cyst. The patient opted for observation rather than surgery.

No MeSH data available.


Related in: MedlinePlus

FNA histology of glandular and squamous cells from the tailgut cyst.
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Figure 3: FNA histology of glandular and squamous cells from the tailgut cyst.

Mentions: A woman in her fourth decade with lower abdominal pain was referred for evaluation of a perirectal mass noted upon digital rectal examination. She had an unremarkable colonoscopy. Abdominal CT revealed a multiloculated cystic mass anterior to the lower sacrum to the right of midline and posterolateral to the rectum (Figure 1). EUS showed a well-delineated hypoechoic mass with a few cystic spaces measuring 3.7 x 3.4 cm in the retrorectal space anterior to the sacrum, 15 cm from the anal verge (Figure 2). Fine-needle aspiration (FNA) of the lesion revealed anucleate squamous cells with keratin debris and scattered multinucleated histiocytes consistent with tailgut cyst (Figure 3). A diagnosis of tailgut cyst was established considering the pre-sacral location, squamous cells on histology, and multilocular nature of the cyst. The patient opted for observation rather than surgery and is doing well at 1-year follow up.


A Tailgut Cyst Diagnosed by Endoscopic Ultrasound-Guided Fine-Needle Aspiration.

Rathinamanickam H, Pawa S - ACG Case Rep J (2015)

FNA histology of glandular and squamous cells from the tailgut cyst.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4612754&req=5

Figure 3: FNA histology of glandular and squamous cells from the tailgut cyst.
Mentions: A woman in her fourth decade with lower abdominal pain was referred for evaluation of a perirectal mass noted upon digital rectal examination. She had an unremarkable colonoscopy. Abdominal CT revealed a multiloculated cystic mass anterior to the lower sacrum to the right of midline and posterolateral to the rectum (Figure 1). EUS showed a well-delineated hypoechoic mass with a few cystic spaces measuring 3.7 x 3.4 cm in the retrorectal space anterior to the sacrum, 15 cm from the anal verge (Figure 2). Fine-needle aspiration (FNA) of the lesion revealed anucleate squamous cells with keratin debris and scattered multinucleated histiocytes consistent with tailgut cyst (Figure 3). A diagnosis of tailgut cyst was established considering the pre-sacral location, squamous cells on histology, and multilocular nature of the cyst. The patient opted for observation rather than surgery and is doing well at 1-year follow up.

Bottom Line: Only 2 cases of tailgut cyst diagnosed by EUS-guided FNA have been reported.We present a woman in her fourth decade who presented for evaluation of perirectal mass.EUS-guided fine-needle aspiration (FNA) helped establish the diagnosis of tailgut cyst.

View Article: PubMed Central - PubMed

Affiliation: Department of Medicine, Section of Digestive Diseases, Robert C. Byrd Health Sciences Center, West Virginia University, Morgantown, WV.

ABSTRACT
Tailgut cysts are rare developmental cysts. Surgery has been the primary method of diagnosis and treatment of these cysts, but endoscopic ultrasound (EUS) has recently been used to establish diagnosis. Only 2 cases of tailgut cyst diagnosed by EUS-guided FNA have been reported. We present a woman in her fourth decade who presented for evaluation of perirectal mass. EUS-guided fine-needle aspiration (FNA) helped establish the diagnosis of tailgut cyst. The patient opted for observation rather than surgery.

No MeSH data available.


Related in: MedlinePlus