Seven years experience of bronchogenic cysts

To reveal the clinical, radiological, and surgical results of bronchogenic cysts. Patients that underwent surgical procedure between January 2000 and June 2007, at Izmir Dr. Suat Seren Chest Disease and Thoracic Surgery Training Hospital, Izmir, Turkey with a radiological diagnosis of bronchogenic cyst were assessed retrospectively. Patients with confirmed histopathologically bronchogenic cyst [n=28] were evaluated for age, gender, symptoms, clinical and radiological signs, procedure of surgical treatment, and post-operative complications. There were 12 females, 16 males, and the mean age was 45.3 [25-73] years. Cysts were located at the pulmonary parenchyma in 53.5%, at the mediastinum in 43%, and at the intrathoracic extrapulmonary in 3.5%. There was no relation between localization and gender [p=0.276], and localization and the presence of symptoms [p=0.409]. Frequently seen symptoms were dyspnea and chest pain. Cysts were infected in 11%, and intact in 89%. The average diameter of the cysts was 6.18 cm [2-12]. Surgical complete resection was performed via thoracotomy in all patients. Mean follow-up time was 36 months, and there was no death. Minor postoperative complications occurred in 3 patients. Radiology alone may not be enough for diagnosis of bronchogenic cysts in all patients. Early surgical intervention is suggested for the exact diagnosis and prevention of operative difficulties and complications

Resección toracoscópica de un quiste broncogénico: presentación de un caso y revisión de la literatura / Thoracoscopic resection of a bronchogenic cyst: case presentation and literature review

El quiste broncogénico es una malformación congénita pulmonar rara que sin tratamiento puede presentar una variedad de complicaciones importantes, incluyendo transformación maligna. Se reporta un caso de una paciente femenina de 4 años de edad en quien se diagnosticó quiste broncogénico mediastinal derecho tanto por tomografía axial computarizada como por resonancia magnética y que fue exitosamente operada vía toracoscópica en el Hospital de Especialidades del Instituto Hondureño del Seguro Social en Tegucigalpa, Honduras...

Quiste broncogénico cervical: reporte de un caso / Cervical bronchogenic cyst: report of one case

Los quistes broncogénicos son malformaciones congénitas del árbol traqueobronquial que se ubican preferentemente en pulmones y mediastino, siendo excepcional su aparición en el cuello. Esta situación conlleva que ante una masa cervical de esta naturaleza se postulen diferentes diagnósticos clínicos de lesiones cervicales que son más corrientes, tales como quiste tiroideo, tirogloso, branquial y tímico, entre otros. La imagenología informa sobre el carácter quístico de la lesión pero no proporciona hallazgos específicos. Durante la intervención quirúrgica tampoco es posible establecer el diagnóstico, puesto que la masa simula los quistes cervicales congénitos más frecuentes. El diagnóstico definitivo se establece mediante la biopsia al constatar en la pared del quiste epitelio respiratorio. Comunicamos el caso de una mujer que presentó un quiste broncogénico de ubicación cervical y discutimos algunos aspectos de esta interesante condición.

Bronchogenic cysts are congenital malformations of the tracheobronchial tree that are mainly located in the lungs and mediastinum. Occasionally, they can appear in the neck, generating a cervical mass. Pathology gives the definitive diagnosis. We report a 19 years old female that consulted for an asymptomatic central cervical mass. On examination, a 4 cm diameter painless suprasternal nodule was palpated. Cervical ultrasound and CAT scan showed a cystic lesion. The cyst was completely excised surgically and the pathological report disclosed a bronchogenic cyst.

Sacral Intraspinal Bronchogenic Cyst: A Case Report

Intraspinal bronchogenic cysts are rare congenital cystic lesions. In all the reported cases, the cysts have been located in the cervical, upper thoracic or thoracolumbar segments. We report the case of an intraspinal bronchogenic cyst in the sacral location. We present the case of a 5-month-old female with a skin dimple in the midline over the sacral vertebra. Magnetic resonance image of the lumbar and sacral vertebra revealed a dermal sinus tract and an epidural cystic mass at the S2 level. The patient underwent the removal of the dermal sinus tract and the cyst. The cystic mass was shown to be connected to the subarachnoid space through a slender pedicle from the dura. The cyst was diagnosed to be a bronchogenic cyst based on the results of the histopathological examination. We conclude that intraspinal bronchogenic cysts may appear in the sacral location.

Isolated oesophageal cyst connected with the bronchus

We report an unusual case of a patient with an oesophageal cyst connected to the bronchus. A 24-year old male with a two-year history of repeated attacks of chest infection and haemoptysis was found to have a cyst of 4 x 4 cm affecting the anterior and apical segments of the right upper lobe. The cyst was excised in its entirety and the histopathological study of the cyst showed stratified squamous epithelium with submucosal and muscular layer but no cartilage. The pathological diagnosis was an oesophageal cyst. No previous case of isolated oesophageal cyst connected to the bronchus has been reported according to the available literature.

Dois casos de cisto broncogênico do mediastino em lactentes sintomáticos / Two cases of mediastinal bronchogenic cyst in symptomatic infants

Os cistos broncogênicos são malformações relativamente infreqüentes, que causam 10% das massas e 60% dos cistos mediastinais. No entanto, uma intervenção cirúrgica, geralmente, é necessária para a confirmação do diagnóstico, para a exclusão de malignidade e prevenção de complicações, tais como hemorragia e infecção. Descrevemos dois casos de cisto broncogênico do mediastino, em lactentes com menos de 1 ano de vida. Os diagnósticos foram suspeitados devido à evolução com sintomas digestivos, associados à compressão esofagiana, demonstrada na radiografia de tórax e na seriografia esôfago-gástrica com bário. A tomografia computadorizada de tórax reforçou a hipótese diagnóstica e ambos os pacientes foram submetidos à cirurgia, sendo o diagnóstico confirmado com a histopatologia das lesões. Os dois casos obtiveram total sucesso terapêutico, tornando-se assintomáticos após a cirurgia. Este trabalho reforça a importância de se incluir a possibilidade do diagnóstico de cisto broncogênico mediastinal, em lactentes com sintomas digestivos de refluxo gastro-esofagiano que não melhoram com o tratamento clínico adequado.

Remarks on some clinical features and X-rays of 53 case of bronchogenic cyst

Background: Bronchogenic cyst is a disease caused by abnormal development of the bronchial tree during the fetal. Incidence of Bronchogenic cyst accounts for 6.5% of mediastinal tumor in children and 14.5% of mediastinal benign tumor. Objectives: To study clinical features, X-rays imaging of bronchogenic cyst and surgical indications in treatment. Subjects and method: A retrospective study was conducted on 53 patients with bronchogenic cyst (29 males, 24 females, aged between 18 and 69 years old), operated at Surgical department of Central Hospital of Tuberculosis and Lung from January, 2002 to December, 2005. Results:Clinical symptoms of bronchogenic cyst were nonspecific. However, some common symptoms were chest pain (64%), dry cough (51%) and hemoptysis (34%). The disease was common seen in bronchial parenchyma (98%), in right lung is 2 times higher than in left lung. Diameter of cyst was mainly from 5-10cm, round shape. The cyst edge is thin, clear and smooth. Treatment indication for bronchogenic cyst was surgery. Conclusion: When bronchogenic cyst was confirmed diagnosed, surgical indication was completely reasonable, it allowed eliminating complications of bronchogenic cyst.

Polypoid Endobronchial Lung Cyst with Bronchoscopic Removal: A Case Report

Pulmonary bronchogenic cyst in adults is rare and the typical appearance is a sharply circumscribed, round or oval nodule or mass, usually in the medial third of the lungs. Bronchial polyps are rare histopathologically distinct nonneoplastic endobronchial lesions and are classified as multiple papillomas, solitary papillomas, and inflammatory polyps. We herein report a patient with polypoid endobronchial lung cyst. A 68-yr-old woman presented with a discomfort and pain in the right upper chest of four weeks' duration. Chest radiography revealed a cystic lesion in the right upper lung. Computed tomography revealed a 4x5 cm sized large cyst. Neither enlarged mediastinal lymph nodes nor extrabronchial involvements were observed. Flexible bronchoscopy revealed a peduncular polyp about 2 cm in length originating from the anterior segment of right upper lung. After bronchoscopic removal of polyp, cystic lesion of the right upper lung disappeared.

Cisto broncogênico simulando asma brônquica em criança / Brochongenic cyst mimicking asthma in an infant

O cisto broncogênico é a lesão cística mais comum do mediastino. Algumas de suas manifestações clínicas ocorrem por compressão das vias aéreas. Uma forma incomum de apresentação é o caráter recorrente dos sintomas obstrutivos, assemelhando-se a asma brônquica. Os autores relatam e discutem caso de cisto broncogênico simulando asma em uma criança, onde a retirada da lesão possibilitou a remissão completa dos sintomas

The First Case of Intraperitoneal Bronchogenic Cyst in Korea Mimicking a Gallbladder Tumor

We present a case of an intraperitoneal bronchogenic cyst located at inferior surface of the liver, next to the gallbladder which clinically mimicked a gallbladder tumor. This is the first case reported in Korea, and we offer reviews of the related literatures. A 48-yr-old woman was admitted to our hospital because of intermittent abdominal pain in right upper quadrant. Computed tomography showed a large mass alongside the gallbladder. During laparotomy, the mass showed an ovoid cystic nature, which was attached to the normal gallbladder and liver bed. Cyst excision with cholecystectomy was performed, and histopathological examination revealed a bronchogenic cyst. Most bronchogenic cysts have a benign nature, but malignant changes have also been reported. Therefore, if a cystic tumor in the abdomen is suspected during preoperative diagnosis, a bronchogenic cyst should be considered in the differential diagnosis.

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The First Case of Intraperitoneal Bronchogenic Cyst in Korea

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Quiste broncogénico de la pared torácica: caso clínico y revisión de la literatura / Bronchogenic cyst in the chest wall

Los quistes broncogénicos se ubican en la mayoría de los casos en la cavidad torácica, en relación con el árbol bronquial, en la periferia del parénquima pulmonar o en el mediastino. Sin embargo, existen casos infrecuentes en que el quiste se localiza en la pared torácica, principalmente en el tejido celular subcutáneo presternal, en la región cervical y el abdomen. Se postula que la ubicación fuera de la cavidad torácica ocurre por migración, o pinzamiento del tejido pulmonar normal durante la fusión de los procesos esternales o diafragmáticos. En este artículo, se presenta como caso clínico, un paciente de 10 años de edad, de sexo masculino, que presentó una lesión nodular presternal, confirmada como quiste broncogenético en el estudio histológico. Se revisa la literatura al respecto y se discute el enfoque diagnóstico y terapéutico más adecuado a esta patología.

Cisto broncogêncio simulando asma bronquica em criança / Brinchogenic cyst resembling asthma in children

O cisto broncogênico é a lesão cística mais comum do mediastino, Algumas de suas manifestações clínicas ocorrem por compressão das vias aéreas, Uma forma incomum de apresentação é o caráter recorrente dos sintomas obstrutivos, assemelhando-se a asma brônquica, Os autores relatam e discutem caso de cisto broncogênico simulando asma em uma criança, onde a retirada da lesão possibilitou a remissão completa dos sintomas

Thoracoscopic excision of mediastinal bronchogenic cyst: a case report and review of literature.

Thoracoscopic resection of mediastinal cysts results in less postoperative pain, shorter hospital stay and better cosmetic outcome when compared to the standard thoracotomy. We report successful thoracoscopic resection of a mediastinal cyst in a 17-year-old male who presented with right-sided chest pain.

Intradiaphragmatic bronchogenic cyst

The bronchogenic cyst is a common congenital malformation, generally located in the mediastinum; however, it can develop in other areas, such as the diaphragm. A rare case of intradiaphragmatic bronchogenic cyst is described here, discovered in a 32 year-old patient, who experienced thoracic pain and dyspnea following thoracic trauma. The pre-operative exams were compatible with left diaphragmatic hernia. The patient was submitted to a left post-lateral thoracotomy with the operative discovery of a cystic lesion enveloped by the diaphragm with mucinous content, and a partial resection of the diaphragm was performed. The histological findings of the operated portion revealed ciliated cylindrical epithelium, compatible with bronchogenic cysts. The post-operative outcome was excellent.