Presentation and Management of Bronchogenic Cysts in the Adult

Patel, Sunit R.; Meeker, David P.; Biscotti, Charles V.; Kirby, Thomas J.; Rice, Thomas W.

doi:10.1378/chest.106.1.79

Cited by 174 publications

(157 citation statements)

References 44 publications

(6 reference statements)

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“…In pediatric patients, bronchogenic cysts are frequently seen as life-threatening emergencies with airway obstruction, atelectasis, and subsequent respiratory distress. In adults however, cysts are often asymptomatic or cause minor symptoms such as coughing, dyspnea, and substernal pain [3,4,8,9].…”

Section: Discussionmentioning

confidence: 99%

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Bronchogenic cysts in adults: frequently mistaken for a solid mass on computed tomography

Vos

Hartemink

Golding

et al. 2011

Wien Klin Wochenschr

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Schlussfolgerung: Bronchogene Zysten werden häufi g fälschlich in der CT als solider Tumor diagnostiziert. Wenn die CT inkonklusiv ist, kann mittels MRI oder Ultraschall (EUS) die Diff erentialdiagnose getroff en werden. Summary. Background:Bronchogenic cysts are congenital malformations and are often detected in asymptomatic patients as an incidental fi nding. Growth can cause compression of airways and vessels, resulting in clinical symptoms and possible complications. On computed tomography (CT) scans, bronchogenic cysts frequently have the appearance of a solid tumor. We describe diagnostic strategy and management for patients with bronchogenic cysts.Methods: Retrospective case study of 11 adults diagnosed with a bronchogenic cyst. Th e CT scan of all patients was revised and localization, size, Hounsfi eld Units (HU), and appearance (cystic or solid) of the lesions were reported. Lesions were arbitrarily considered cystic or solid when the radiographic density was below or above 20 HU, respectively.Results: Eleven adults with a bronchogenic cyst were followed for at least 2 years after diagnosis. Eight of 11 detected lesions were judged as a solid lesion, based on the radiographic density (in HU) on CT images. Nine of 11 patients were treated by surgical resection. Two asymptomatic patients were not operated and remained asymptomatic without enlargement of the cysts during 2 years follow-up. Complications of resection were postoperative bleeding (n = 1), recurrent pneumothorax (n = 1), and recurrence of the cyst (n = 1). No mortality was observed.Conclusion: Bronchogenic cysts are frequently mistaken for a solid mass on CT scans. Further diff erentiation can be made by MRI or EUS when CT is inconclusive.

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Section: Discussionmentioning

confidence: 99%

“…Conventional chest radiographs can identify a mediastinal mass, however, for the fi nal diagnosis they are of little value [8]. A CT scan can identify bronchogenic cysts.…”

Section: Discussionmentioning

confidence: 99%

Bronchogenic cysts in adults: frequently mistaken for a solid mass on computed tomography

Vos

Hartemink

Golding

et al. 2011

Wien Klin Wochenschr

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“…If they occur at an early stage, when there is little tissue surrounding the developing airways, the anomalous bud is likely to remain in the mediastinum. Onthe other hand if they occur at a later stage of bodily development, the abnormal branch is more apt to be contained within lung tissue already present and they thus have an intrapulmonary location, as in the present case (9).…”

Section: Discussionmentioning

confidence: 48%

A Rare Case of Pulmonary Bronchogenic Cyst Associated with Bronchial Atresia in the Same Lobe

Suzuki

Shiratori²,

Tazaki³

et al. 2003

Intern. Med.

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A rare case of 49-year-old womanhaving pulmonary bronchogenic cyst associated with bronchial atresia in the same lobe was presented. The diagnosis was confirmed by aortography and operation specimen. Three-dimensional reconstructed images of computed tomography clearly demonstrated the defference between mucoid impaction of bronchial trees in the left S9 not communicating with hilar bronchus and the cyst in the left S10 oppressing surrounding vessels. (Internal Medicine 42: 521-524, 2003)

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“…When the cyst is located near the trachea, a dry cough, chest discomfort and chest pain may be present. In the presence of bronchial compression, symptoms associated with an increase in cyst size, pneumonia due to pulmonary atelectasis, and when complicated by secondary infection, evolution to severe conditions such as a pulmonary abscess, mediastinitis and pyothorax, are sometimes observed (3,4). Patients with mediastinal bronchogenic cysts who developed a hemothorax have been rarely reported (5,6).…”

Section: Discussionmentioning

confidence: 99%

“…The first choice of treatment for bronchogenic cysts is resection to prevent the development of compression symptoms due to an increase in cyst size and associated complications (3)(4)(5)(6). In addition, malignant degeneration may occur with this disorder (11).…”

Section: Discussionmentioning

confidence: 99%

Hemothorax with a High Carbohydrate Antigen 19-9 Level Caused by a Bronchogenic Cyst

et al. 2014

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A 58-year-old man presented with right-sided chest pain. Radiography and computed tomography showed a pleural effusion in the right chest and a mass in the right hilum. Thoracentesis showed a hemothorax. The carbohydrate antigen (CA) 19-9 level in the pleural effusion was very high, requiring differentiation from malignancy. Positron emission tomography showed no significant fluorodeoxy glucose (FDG) accumulation. Magnetic resonance imaging revealed a cystic lesion. The tumor was resected for both a diagnosis and treatment. A pathological examination demonstrated a bronchogenic cyst. An immunohistochemical study suggested that the cyst was the source of the hemothorax and the high CA19-9 level.

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Presentation and Management of Bronchogenic Cysts in the Adult

Cited by 174 publications

References 44 publications

Bronchogenic cysts in adults: frequently mistaken for a solid mass on computed tomography

Bronchogenic cysts in adults: frequently mistaken for a solid mass on computed tomography

A Rare Case of Pulmonary Bronchogenic Cyst Associated with Bronchial Atresia in the Same Lobe

Hemothorax with a High Carbohydrate Antigen 19-9 Level Caused by a Bronchogenic Cyst

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