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Killian-Jamieson diverticulum lined with two epithelia in a Korean cadaver

  • Cha, Min-Kyoung (Medical Course, School of Medicine, Jeju National University) ;
  • Kang, Seung Weon (Medical Course, School of Medicine, Jeju National University) ;
  • Maeng, Young Hee (Department of Pathology, Jeju National University School of Medicine) ;
  • Kim, Jinu (Department of Anatomy, Jeju National University School of Medicine) ;
  • Yoon, Sang-Pil (Department of Anatomy, Jeju National University School of Medicine)
  • Received : 2018.07.24
  • Accepted : 2018.08.13
  • Published : 2018.12.30

Abstract

Killian-Jamieson diverticulum is a permanent protrusion of anterolateral proximal esophagus through anatomically weak muscular gap, known as Killian-Jamieson area, into adjacent area. During a routine educational dissection, we found a well-defined lateral diverticulum just inferior to the transverse fibers of the cricopharyngeus muscle in a Korean male cadaver. It had a dimension of $1.8{\times}1.4{\times}1.0cm$ with two types of epithelial cells, stratified squamous and simple cuboidal to low-columnar epithelium, and attenuated and haphazardly arranged muscle fibers. No epithelial dysplasia or malignant transformation was identified except ulcerative changes. Although Killian-Jamieson diverticulum is a very rare disease, clinicopathological aspects should be considered.

Keywords

References

  1. Rodgers PJ, Armstrong WB, Dana E. Killian-Jamieson diverticulum: a case report and a review of the literature. Ann Otol Rhinol Laryngol 2000;109:1087-91. https://doi.org/10.1177/000348940010901117
  2. van Overbeek JJ. Pathogenesis and methods of treatment of Zenker's diverticulum. Ann Otol Rhinol Laryngol 2003;112:583-93. https://doi.org/10.1177/000348940311200703
  3. Rubesin SE, Levine MS. Killian-Jamieson diverticula: radiographic findings in 16 patients. AJR Am J Roentgenol 2001;177:85-9. https://doi.org/10.2214/ajr.177.1.1770085
  4. Stewart KE, Smith DR, Woolley SL. Simultaneously occurring Zenker's diverticulum and Killian-Jamieson diverticulum: case report and literature review. J Laryngol Otol 2017;131:661-6. https://doi.org/10.1017/S0022215117001268
  5. Kim HK, Lee JI, Jang HW, Bae SY, Lee JH, Kim YS, Shin JH, Kim SW, Chung JH. Characteristics of Killian-Jamieson diverticula mimicking a thyroid nodule. Head Neck 2012;34:599-603. https://doi.org/10.1002/hed.21575
  6. Shallow TA. Combined one stage closed method for the treatment of pharyngeal diverticula. Surg Gynecol Obstet 1936;62:624-33.
  7. Ekberg O, Wahlgren L. Dysfunction of pharyngeal swallowing. A cineradiographic investigation in 854 dysphagia patients. Acta Radiol Diagn (Stockh) 1985;26:389-95. https://doi.org/10.1177/028418518502600405
  8. Ekberg O, Nylander G. Lateral diverticula from the pharyngoesophageal junction area. Radiology 1983;146:117-22. https://doi.org/10.1148/radiology.146.1.6401363
  9. Huang BS, Unni KK, Payne WS. Long-term survival following diverticulectomy for cancer in pharyngoesophageal (Zenker's) diverticulum. Ann Thorac Surg 1984;38:207-10. https://doi.org/10.1016/S0003-4975(10)62238-2
  10. Chandrasoma P, Wijetunge S, DeMeester S, Ma Y, Hagen J, Zamis L, DeMeester T. Columnar-lined esophagus without intestinal metaplasia has no proven risk of adenocarcinoma. Am J Surg Pathol 2012;36:1-7. https://doi.org/10.1097/PAS.0b013e31822a5a2c