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Case Reports in Pathology
Volume 2016 (2016), Article ID 1537240, 4 pages
http://dx.doi.org/10.1155/2016/1537240
Case Report

A Foregut Duplication Cyst of the Stomach in Association with a Gastrointestinal Stromal Tumor and a Leiomyoma: A Case Report

1Department of Pathology, Institut Universitaire de Cardiologie et de Pneumologie de Québec, Quebec City, QC, Canada
2Department of Bariatric Surgery, Institut Universitaire de Cardiologie et de Pneumologie de Québec, Quebec City, QC, Canada
3Department of Pathology, Hôtel-Dieu de Québec, Quebec City, QC, Canada

Received 19 October 2016; Accepted 1 December 2016

Academic Editor: Hiroko Kuwabara

Copyright © 2016 Andréanne Gagné et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives. Duplication cysts are rare benign lesions usually arising in the gastrointestinal tract. We report a case of a 52-year-old woman with an incidental gastric mass found on computed tomography during a pregraft workup for a familial cardiomyopathy. Methods. The mass was completely excised by partial gastrectomy and gross examination revealed a cystic lesion containing two small solid nodules in its wall. Microscopic evaluation and immunohistochemistry study were performed to further characterize the cyst and the nodules. A comprehensive literature review of the NCBI database PubMed was also carried out. Results. While the cyst was diagnosed as a foregut duplication cyst, the solid nodules proved to be concomitant gastrointestinal stromal tumor (GIST) and leiomyoma. Both morphologic features and immunohistochemistry stains, including CD117, smooth muscle actin, and CD34 supported the diagnosis. Clinical course was benign and the patient had no clinical evidence of relapse ten months following the surgical procedure. The literature search did not reveal any other published case of a foregut duplication cyst presenting in combination with a GIST and a leiomyoma. Conclusions. To our knowledge, this is the first case of a composite lesion comprising a foregut duplication cyst of the stomach along with a leiomyoma and a GIST.