Bronchogenic Cysts Above and Below the Diaphragm: Report of Eight Cases

Coselli, Michael P.; Ipolyi, Peter D. De; Bloss, Robert S.; Diaz, Ramon F.; Fitzgerald, John

doi:10.1016/s0003-4975(10)62106-6

Cited by 119 publications

(81 citation statements)

References 14 publications

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“…Rarely, the cysts have occurred in other locations, including cutaneous [7] and subcutaneous tissues [8], neck [9], pericardium [10], diaphragm [11], abdomen [12], and the intramedullar part of the spine [13]. They have also been reported to extend from the mediastinum through the diaphragm into the abdomen as dumbbell cysts [14].…”

Section: Discussionmentioning

confidence: 99%

Bronchogenic cysts: clinicopathological presentation and treatment

Aktoğu¹,

Yuncu²,

Halilçolar³

et al. 1996

Eur Respir J

147

138

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B Br ro on nc ch ho og ge en ni ic c c cy ys st ts s: : c cl li in ni ic co op pa at th ho ol lo og gi ic ca al l p pr re es se en nt ta at ti io on n a an nd d t tr re ea at tm me en nt t S. Aktogu*, G. Yuncu**, H. Halilçolar*, S. Ermete + , T. Buduneli** Bronchogenic cysts: clinicopathological presentation and treatment. S. Aktogu, G. Yuncu, H. Halilçolar, S. Ermete, T. Buduneli. ©ERS Journals Ltd 1996. ABSTRACT: The aim of this study was to evaluate the preoperative and operative presentations of one paediatric and 30 adult patients with bronchogenic cyst of the mediastinum (n=11) and lung (n=20).At initial presentation, six patients were asymptomatic and 25 were symptomatic. The mean age of asymptomatic and symptomatic patients was 25 and 33 yrs, respectively. Six patients presented with complications, including superior vena cava syndrome, tracheal compression, pneumothorax, pleurisy and pneumonia. Two patients who were asymptomatic when initially observed eventually needed surgery because of the development of symptoms or enlargement of the cyst size. In one patient, the cyst was not seen on the chest radiograph but appeared as a lobulated nodule of 2 cm diameter in a chest computerized tomography (CT) scan. Operative difficulties were encountered in 13 patients, all of whom were symptomatic preoperatively.In conclusion, life-threatening complications occurred in these patients. Despite various diagnostic studies, definitive tissue diagnosis was established only by means of surgical excision. The frequency of operative difficulties in symptomatic cysts was higher than those of asymptomatic cysts. Surgery may be considered as the treatment of choice even when the cyst is asymptomatic, since complications are not uncommon.

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Section: Discussionmentioning

confidence: 99%

Bronchogenic cysts: clinicopathological presentation and treatment

Aktoğu¹,

Yuncu²,

Halilçolar³

et al. 1996

Eur Respir J

147

138

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“…The disease is usually diagnosed in childhood with the lesions most frequently located in the mediastinum and pulmonary parenchyma. 1) Although the occurrence of bronchogenic cyst in the parietal pleura has been reported, 2,3) it is extremely rare that bronchogenic cyst occurs in the parietal pleura of the side chest wall of thoracic cavity, which looks like lipoma. A Pubmed search from December 1960 to February 2016 showed that the similar cases have not been reported.…”

Section: Introductionmentioning

confidence: 99%

Lipoma-Like Bronchogenic Cyst in the Right Chest Sidewall: A Case Report and Literature Review

Che¹,

Zang

Zhu

et al. 2016

ATCS

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Bronchogenic cyst most commonly occurs in the mediastinum, followed by the lung. We admitted a 59-year female patient with bronchogenic cyst being uniquely located on the right chest wall of the parietal pleura. Preoperative CT scan showed a local low-density lesion on the right chest wall. The lesion was removed by the thoracoscopic surgery. During the surgical resection, the lesion was observed to be located on the right chest wall. The lesion was surrounded by adipose tissue and covered with entire parietal pleura, which looks like lipoma. Pathological examination demonstrated that the lesion was bronchogenic cyst. In addition, previously reported cases of bronchogenic cyst were reviewed, and the relevant clinical knowledge was discussed.

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“…Touch preparations obtained from the surgical specimen cut surface disclosed respiratorytype ciliated columnar cells suggestive of a retroperitoneal extrapulmonary sequestration or a bronchogenic cyst. [11][12][13] The latter supports the diagnostic value of preoperative fine needle aspiration and a possible nonsurgical approach in the nonsymptomatic patient. [15][16][17] A number of associated anomalies, often severe, have been reported in approximately two-thirds of ELS cases.…”

Section: Discussionmentioning

confidence: 76%

“…Certain laboratory and imaging pitfalls should be considered to avoid a misdiagnosis. [5][6][7][8][9][10][11][12][13][14][15] For example, vanilylmandelic acid and homovanillic acid may be negative in newborns with neuroblastomas. The sonographic findings are usually nondiagnostic, because neuroblastomas may show a wide spectrum of findings ranging from solid to cystic.…”

Section: Discussionmentioning

confidence: 99%

Subdiaphragmatic Pulmonary Sequestration: A Case Report With Review of the Literature

et al. 2000

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Pulmonary sequestration is defined as a mass of abnormal lung tissue that does not communicate with the tracheobronchial tree through a normally located bronchus. Most authors classify these sequestrations either as extralobar if the mass is covered by its own pleural investment or intralobar if incorporated within the normal lung without a separate pleural membrane. Sequestrations may communicate with the gastrointestinal tract 1 and are also supplied by an anomalous systemic artery. The vast majority of the extralobar lesions are present within the thorax, most frequently between the left lower lobe and the diaphragm and rarely below it. 2 Embryologically, these lesions are best categorized as a form of foregut malformation. 1,3,4 Associated anomalies are seen in ϳ65% of the patients with extralobar sequestrations (ELS) and rarely in patients with intralobar sequestrations. The anomalies usually include diaphragmatic hernias and congenital cystic adenomatoid malformation (CCAM).Bronchogenic cysts, teratomas, neuroblastoma, intestinal duplications cysts, adrenal hemorrhage, and renal dysplasia should be considered among the more common differential diagnoses of subdiaphragmatic lesions in the perinatal period. CLINICAL HISTORYA left suprarenal mass was detected at 22 weeks' gestation during a routine ultrasound (US). A 1.5 ϫ 0.8-cm hyperechoic and cystic lesion was noted to the left of the lumbar spine and superior to the left kidney (Figure 1). No feeding vessel was noted by US, and no hemorrhage was detected by ultrafast fetal magnetic resonance imaging. The clinical differential diagnosis included neuroblastoma and pulmonary sequestration. The postnatal computed tomography scan and US were consistent with an adrenal neuroblastoma. Neonatal urinary vanilylmandelic acid was reported as negative.The left adrenal and the tumor were resected at 40 days after delivery. The specimen weighed 3.56 gm and contained a 2 ϫ 1 ϫ 0.5-cm "fleshy" nodule along the superior and medial aspect of the adrenal gland. Serial longitudinal sections disclosed a well-delineated, solid, tan lesion with a 0.2-cm white-gray collapsed cyst at one of the edges (Figure 2). The adjacent adrenal gland was unremarkable.Touch preparations disclosed many ciliated columnar cells (Figure 3). The nodule was composed of many irregular cystic and tubular structures resembling bronchioles. These structures were lined by a ciliated respiratory epithelium and were surrounded by smooth muscle fibers and islands of cartilage resembling a CCAM type II ( Figure 4). In other areas, the lesion had an alveolar pattern, and the luminal spaces contained proteinaceous fluid with many foamy macrophages. There was an associated mild lymphocytic infiltrate. The adjacent adrenal gland was normal for age. DISCUSSIONELS located in the abdomen are rarely diagnosed before excision. Certain laboratory and imaging pitfalls should be considered to avoid a misdiagnosis. [5][6][7][8][9][10][11][12][13][14][15] For example, vanilylmandelic acid and homovanillic acid may be ne...

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Bronchogenic Cysts Above and Below the Diaphragm: Report of Eight Cases

Cited by 119 publications

References 14 publications

Bronchogenic cysts: clinicopathological presentation and treatment

Bronchogenic cysts: clinicopathological presentation and treatment

Lipoma-Like Bronchogenic Cyst in the Right Chest Sidewall: A Case Report and Literature Review

Subdiaphragmatic Pulmonary Sequestration: A Case Report With Review of the Literature

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