A Case Report of Esophageal Bronchogenic Cyst and Review of the Literature With an Emphasis on Endoscopic Ultrasonography Appearance

Han, Chaoqun; Lin, Rong; Yu, Jun; Zhang, Qin; Zhang, Yang; Li, Jun; Zhang, Ding; Hou, Xiaohua

doi:10.1097/md.0000000000003111

Cited by 24 publications

(20 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…We did not see any double muscle layer, classically observed in duplication cysts. Moreover, we observed an apical immunostaining of CA‐125 and CA19.9 that has already been reported in esophageal bronchogenic cyst …”

supporting

confidence: 83%

Resection of an intra‐esophageal bronchogenic cyst by endoscopic submucosal dissection

Raptis¹,

Deprez

Jouret‐Mourin³

2017

Digestive Endoscopy

View full text Add to dashboard Cite

supporting

confidence: 83%

Resection of an intra‐esophageal bronchogenic cyst by endoscopic submucosal dissection

Raptis¹,

Deprez

Jouret‐Mourin³

2017

Digestive Endoscopy

View full text Add to dashboard Cite

“…Reports of high levels of both CA199 and CA125 are extremely rare. 16 , 33 , 38 In the present case, abnormal levels of CA199 and CA125 were also detected in the serum and the cyst sections, and the elevated CA199 and CA125 levels decreased to a normal range postoperatively. These findings suggested that the serum levels of CA199 and CA125 were partly correlated with epithelial cell secretion from the esophageal BC in our patient.…”

Section: Discussionsupporting

confidence: 61%

Surgical treatment of an esophageal bronchogenic cyst with massive upper digestive tract hematoma without esophagectomy: a case report and the review of the literature

Cheng¹,

Chen²,

Shi³

et al. 2018

TCRM

View full text Add to dashboard Cite

Esophageal bronchogenic cysts are extremely rare. Here we report a case of massive upper digestive tract hematoma and bronchogenic cyst mimicking aortic dissection that was safely removed without esophagectomy. A 30-year-old man was referred to our hospital for the treatment of a mediastinal cystic tumor located in the submucosa of the distal esophagus. His chief complaints were dysphagia > 1 week and severe persistent upper abdominal pain mimicking aortic dissection with constant vomiting for 1 day after gastroscopy examination. The serum level of carbohydrate antigen (CA)199 was > 1,000 U/mL and CA125 was 4,816 U/mL. Hemoglobin levels decreased from 122 g/L to 85 g/L in 5 days. Imaging examinations detected a huge hematoma of the gastric wall. Preoperative diagnosis was difficult. Although the pain indicated a possible aortic dissection, the abnormal levels of tumor biomarkers suggested malignancy. The patient underwent left thoracotomy. The cyst showed an exophytic lesion connected to the esophageal wall at the level of the gastroesophageal junction. Muddy brown contents were obtained by aspiration of the mass intraoperatively. Because enucleation could not be performed, esophageal myotomy in the distal esophagus and partial resection of the cyst were selected. Histopathological examination indicated a bronchogenic cyst of the esophagus. At a follow-up visit 3 months later, the patient had no signs of disease recurrence or any complaints. Postoperative tumor biomarkers returned to normal range. The present report summarizes the clinical details of the case and reviews the literature in order to improve the accuracy of diagnosis.

show abstract

“…Preoperative serum levels of CA 19-9 were also elevated (albeit to a much lesser extent) in patients with bronchogenic cysts in the report by Han et al [ 10 ] (156.3 U/mL). CA 19-9 levels returned to normal following resection of the cyst in our study; postoperative CA 19-9 levels were not measured in the study by Han et al [ 10 ]…”

Section: Discussionmentioning

confidence: 86%

Retroperitoneal bronchogenic cyst resembling an adrenal tumor with high levels of serum carbohydrate antigen 19-9

Wang¹,

Qiu³

et al. 2017

Medicine

View full text Add to dashboard Cite

Rationale:Retroperitoneal bronchogenic cysts without specific clinical manifestations are extremely rare and difficult to diagnose preoperatively and are easily misdiagnosed as left adrenal or pancreatic tumors.Patient concerns:A 48-year-old woman with the chief complaint of obscure epigastric pain for 1 month and with no other gastrointestinal symptoms and no significant medical history. The patient had signed informed consent for publication of this case report.Diagnosis:The serum level of carbohydrate antigen 19-9 (CA 19-9) in the patient was >1200 U/mL, which far exceeded the normal level of <37 U/mL. Computed tomography (CT) initially suggested the presence of an adrenal tumor. However, endoscopic ultrasound (EUS) showed that the adrenal gland had an intact capsule and that the mass originated in the retroperitoneal space and did not involve the paranephros.Interventions:Surgical resection was performed on the patient.Outcomes:Histopathological examination demonstrated that the mass was a retroperitoneal bronchogenic cyst. At the 2-month postoperative follow-up, the level of CA 19-9 had returned to normal.Lessons:EUS appears to be superior to CT because it clearly delineated the mass from the surrounding structures of the retroperitoneal region. EUS-fine needle aspiration can be used for diagnosis or determining whether the mass is malignant or benign. To the best of our knowledge, retroperitoneal bronchogenic cysts with significantly elevated serum CA 19-9 have not been reported. Measurement of serum CA 19-9 may be helpful in the diagnosis of retroperitoneal bronchogenic cysts. However, this was a rare case, and the mechanism behind CA 19-9 elevation is not clear and needs further investigation.

show abstract

A Case Report of Esophageal Bronchogenic Cyst and Review of the Literature With an Emphasis on Endoscopic Ultrasonography Appearance

Cited by 24 publications

References 23 publications

Resection of an intra‐esophageal bronchogenic cyst by endoscopic submucosal dissection

Resection of an intra‐esophageal bronchogenic cyst by endoscopic submucosal dissection

Surgical treatment of an esophageal bronchogenic cyst with massive upper digestive tract hematoma without esophagectomy: a case report and the review of the literature

Retroperitoneal bronchogenic cyst resembling an adrenal tumor with high levels of serum carbohydrate antigen 19-9

Contact Info

Product

Resources

About