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Clinical Note
July 2007

Adenocarcinoma Arising in a Lingual Foregut Duplication Cyst

Author Affiliations

Author Affiliations: Departments of Surgery (Drs Volchok, Jaffer, and Cavalli) and Pathology (Drs Cooper and Al-Sabbagh), University of Massachusetts Medical School at Berkshire Medical Center, Pittsfield.

Arch Otolaryngol Head Neck Surg. 2007;133(7):717-719. doi:10.1001/archotol.133.7.717

A 61-year-old man presented with a 3-month history of dysphagia and subtle voice changes. Imaging demonstrated a cystic lingual mass. The patient underwent a transoral excision of the mass, which on microscopic examination showed a foregut duplication cyst with invasive, moderately differentiated adenocarcinoma involving the cyst wall. Malignancy arising in foregut duplication cysts in other areas of the body has been reported; however, to our knowledge, this is the first report of adenocarcinoma arising in a lingual foregut duplication cyst.

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