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Journal of Clinical Pathology 2009;62:187-189; doi:10.1136/jcp.2008.061077
Copyright © 2009 by the BMJ Publishing Group Ltd & Association of Clinical Pathologists.

CASE REPORTS

A retroperitoneal bronchogenic cyst mimicking adrenal tumour in an adult: is differential diagnosis truly possible?

F F Önol1, F Baytekin2, O Dikbas3, T Ergönenç4, Y Tanidir5

1 Clinic of Urology, Sakarya Training and Research Hospital, Sakarya, Turkey
2 Clinic of Pathology, Sakarya Training and Research Hospital, Sakarya, Turkey
3 Clinic of Internal Medicine, Subdivision of Endocrinology, Sakarya Training and Research Hospital, Sakarya, Turkey
4 Clinic of Anesthesiology, Sakarya Training and Research Hospital, Sakarya, Turkey
5 Clinic of Urology, Izmit SEKA State Hospital, Izmit, Turkey

Correspondence to:
Dr F F Önol, Sakarya Training and Research Hospital, Clinic of Urology, Adnan Menderes cd. Sakarya (54100), Turkey; ffonol{at}yahoo.com

Bronchogenic cysts are developmental abnormalities of the primitive foregut resulting from aberrant budding from the ventral diverticulum. A retroperitoneal position for a bronchial cyst is extremely unusual and should be differentiated from other neoplastic lesions. Although histologically they can be differentiated from other lesions, bronchial cysts may show various pathological patterns of differentiation that may cause confusion in differentiating them from cystic teratomas. This is a case of a retroperitoneal bronchogenic cyst featuring uncommon histological findings, which raises the question whether these benign lesions can always be accurately differentiated from teratomatoid cystic neoplasms.


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