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Li Y, Wang S, Tai J, Zhang J, He L, Zhang N, Zhang X, Liu Q, Sun N, Ni X. Surgical Experiences of Pediatric Cervical Bronchogenic Cysts: A Case Series of 6 Patients. EAR, NOSE & THROAT JOURNAL 2023; 102:121-125. [PMID: 33491486 DOI: 10.1177/0145561320982194] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023] Open
Abstract
OBJECTIVES Bronchogenic cyst is a rare congenital disease which occurs especially in the neck region. This report presents 6 cases of bronchogenic cysts and discusses the diagnosis and surgical experience of this anomaly. METHODS A retrospective study of 6 pediatric patients with cervical bronchogenic cysts treated in our hospital during 2016 to 2019 was performed. We recorded and analyzed the clinical data of the patients, including age, symptoms, imaging findings, surgical procedure, and complications. RESULTS All patients underwent surgical excision. The chondroid tissues were found at the base of cysts which clung to the trachea in 5 patients and completely removed by surgery without recurrence. One patient showed recurrence due to residual cartilage after the first surgery, and the second surgery was required to resect the remaining cartilage. During the surgery, the recurrent laryngeal nerve (RLN) detector was used, which confirmed that all the RLNs clung to the side wall of cysts. All cases were cured without complications. CONCLUSIONS Although rare, bronchogenic cysts should be considered in the differential diagnosis of peritracheal masses in children. Complete resection of the bronchogenic cysts, including the cartilages at the base, is vital in preventing recurrence. The RLN must be protected during the surgery.
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Affiliation(s)
- Yanzhen Li
- Department of Otolaryngology, Head and Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Xicheng, Beijing, People's Republic of China
| | - Shengcai Wang
- Department of Otolaryngology, Head and Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Xicheng, Beijing, People's Republic of China
| | - Jun Tai
- Department of Otolaryngology, Head and Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Xicheng, Beijing, People's Republic of China
| | - Jie Zhang
- Department of Otolaryngology, Head and Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Xicheng, Beijing, People's Republic of China
| | - Lejian He
- Department of Pathology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Xicheng, Beijing, People's Republic of China
| | - Nan Zhang
- Department of Pathology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Xicheng, Beijing, People's Republic of China
| | - Xuexi Zhang
- Department of Otolaryngology, Head and Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Xicheng, Beijing, People's Republic of China
| | - Qiaoyin Liu
- Department of Otolaryngology, Head and Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Xicheng, Beijing, People's Republic of China
| | - Nian Sun
- Department of Otolaryngology, Head and Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Xicheng, Beijing, People's Republic of China
| | - Xin Ni
- Department of Otolaryngology, Head and Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Xicheng, Beijing, People's Republic of China
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Ashjaei B, Ghamari Khameneh A, Darban Hosseini Amirkhiz G. Cervical bronchogenic cyst. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS 2020. [DOI: 10.1016/j.epsc.2020.101670] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Patel V, Desai S, Thakkar V, Chaudhari S. Upper cervical spinal bronchogenic cyst: A rare lesion at an exceptional location. Indian J Radiol Imaging 2020; 30:513-516. [PMID: 33737784 PMCID: PMC7954160 DOI: 10.4103/ijri.ijri_262_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2019] [Revised: 08/11/2020] [Accepted: 09/21/2020] [Indexed: 11/23/2022] Open
Abstract
An intraspinal bronchogenic cyst is a rare but important cause of compressive cord myelopathy, commonly seen in the cervicothoracic spine. We report a case of a 30-year-old female, presented with complaints of neck pain and progressive weakness of the extremities. The magnetic resonance imaging of the cervical spine revealed an intradural extramedullary, well-defined, multiloculated, cystic lesion in the upper cervical canal extending from the C2 to C5 vertebral levels. To our knowledge, only 11 cases of spinal bronchogenic cysts have been reported in the literature so far. We discuss the rare location of this unusual lesion, possible embryological reasons, and the overall surgical outcome.
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Affiliation(s)
- Viral Patel
- Department of Radio-Diagnosis, Pramukh Swami Medical College and Shree Krishna Hospital, Karamsad, Gujarat, India
| | - Shreya Desai
- Department of Radio-Diagnosis, Pramukh Swami Medical College and Shree Krishna Hospital, Karamsad, Gujarat, India
| | - Vishal Thakkar
- Department of Radio-Diagnosis, Pramukh Swami Medical College and Shree Krishna Hospital, Karamsad, Gujarat, India
| | - Sanjay Chaudhari
- Department of Pathology, Pramukh Swami Medical College and Shree Krishna Hospital, Karamsad, Gujarat, India
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Santos I, Barros J, Lopes T, Mesquita M, Barroso L, Amado I. Bronchogenic cyst of the neck in an elder patient: A case report. Int J Surg Case Rep 2019; 64:128-132. [PMID: 31648077 PMCID: PMC6818343 DOI: 10.1016/j.ijscr.2019.10.013] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2019] [Revised: 10/05/2019] [Accepted: 10/08/2019] [Indexed: 12/15/2022] Open
Abstract
INTRODUCTION Bronchogenic cysts are rare malformations, mostly diagnosed in children. We report the rare case of a neck bronchogenic cyst diagnosed in an elderly patient. PRESENTATION OF CASE The patient complained of a long-standing submental mass. The diagnostic work-up resulted in a thyroglossal duct cyst diagnosis for which the patient underwent a Sistrunk procedure. However, the histological analysis of the lesion ultimately revealed a bronchogenic cyst. DISCUSSION Neck bronchogenic cysts are rare and, in adults, normally asymptomatic. Imaging exams can suggest the diagnosis but they are most important for surgical planning. Surgery is the elected treatment for bronchogenic cysts and the histopathologic exam of the specimen provides definitive diagnosis. CONCLUSION This case demonstrates than even though they are a rare diagnosis, bronchogenic cysts should be considered in the diagnostic work-up of neck cysts, even in elderly patients.
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Affiliation(s)
- Inês Santos
- Maxillofacial Surgery Department, Hospital and University Centre of Coimbra, Praceta Prof. Mota Pinto, 3000-075, Coimbra, Portugal.
| | - João Barros
- Maxillofacial Surgery Department, Hospital and University Centre of Coimbra, Praceta Prof. Mota Pinto, 3000-075, Coimbra, Portugal.
| | - Teresa Lopes
- Maxillofacial Surgery Department, Hospital and University Centre of Coimbra, Praceta Prof. Mota Pinto, 3000-075, Coimbra, Portugal.
| | - Margarida Mesquita
- Maxillofacial Surgery Department, Hospital and University Centre of Coimbra, Praceta Prof. Mota Pinto, 3000-075, Coimbra, Portugal.
| | - Leonor Barroso
- Maxillofacial Surgery Department, Hospital and University Centre of Coimbra, Praceta Prof. Mota Pinto, 3000-075, Coimbra, Portugal.
| | - Isabel Amado
- Maxillofacial Surgery Department, Hospital and University Centre of Coimbra, Praceta Prof. Mota Pinto, 3000-075, Coimbra, Portugal.
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Pannu JS, Farhood Z, Brinkmeier J, Costa DJ. Cervical lung herniation presenting as a pediatric neck mass: Case report and literature review. Int J Pediatr Otorhinolaryngol 2019; 125:113-115. [PMID: 31284227 DOI: 10.1016/j.ijporl.2019.06.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/30/2019] [Accepted: 06/30/2019] [Indexed: 10/26/2022]
Affiliation(s)
- Jaibir S Pannu
- Saint Louis University School of Medicine, St. Louis, MO. 1402 S Grand Blvd, St. Louis, MO, 63104, United States
| | - Zachary Farhood
- Saint Louis University School of Medicine, Department of Otolaryngology-Head and Neck Surgery, Saint Louis, MO, 3635 Vista Avenue, 6FDT, St. Louis, MO, 63104, United States
| | - Jennifer Brinkmeier
- Saint Louis University School of Medicine, Department of Otolaryngology-Head and Neck Surgery, Saint Louis, MO, 3635 Vista Avenue, 6FDT, St. Louis, MO, 63104, United States
| | - Dary J Costa
- Saint Louis University School of Medicine, Department of Otolaryngology-Head and Neck Surgery, Saint Louis, MO, 3635 Vista Avenue, 6FDT, St. Louis, MO, 63104, United States.
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Sakaguchi T, Hamada Y, Nakamura Y, Shirai T, Hamada H, Kon M. Subcutaneous bronchogenic cyst: Report of five cases and review of the literature. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS 2017. [DOI: 10.1016/j.epsc.2017.02.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Ma X, Li W, Niu C, Liang F, Guo L, Shakir TM, Zhang M. Intraspinal bronchogenic cyst: Series of case reports and literature review. J Spinal Cord Med 2017; 40:141-146. [PMID: 28317447 PMCID: PMC5430469 DOI: 10.1080/10790268.2017.1279816] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Abstract
PURPOSE Spinal bronchogenic cysts (SBCs) are rare congenital lesions. The clinical and imaging characteristics and treatment of SBCs are not well known. We studied three cases of SBCs retrospectively, which were registered in our department and analyzed eight case reports which were all published in English, focusing on providing a deeper knowledge of SBCs. METHODS Three patients with SBCs registered in our department were retrospectively reviewed. Eight reported SBCs cases published from 1992 to 2015 were enrolled in our study. Imaging diagnosis was confirmed by computed tomography (CT), MRI, and computed tomography angiography (CTA). All of our patients and reviewed cases had undergone surgical resection and the final diagnosis was made by pathological examination. RESULTS Five lesions were located at the cervical spinal canal. Most patients presented with pain in the limbs and back, which might be related to compression of the spinal cord and the reduced blood supply of the anterior spinal artery. The signal intensity on MRI was correlated with cystic fluid traits to a large extent. Seven lesions were partially removed because of the adhesions to the nearby spinal cord. All reported cases had no recurrence in the later follow-up. CONCLUSIONS SBCs can occur anywhere in the spinal canal, but they are more likely to present at the cervical canal and might be present along with some developmental malformations of the spine. We emphasize the role of CT and MRI findings in the disease diagnosis. It is recommended that the lesion should be removed as completely as possible.
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Affiliation(s)
| | | | | | | | | | | | - Ming Zhang
- Correspondence to: Ming Zhang, 277#, Yan Ta Xi Lu, Department of Medical Imaging, First Affiliated Hospital of Xi'an Jiaotong University College of Medicine, Xi'an, Shan'Xi, China, 710061.
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Farid M, Michael P. Bronchogenic cyst-a rare case mimicking a laryngocoele. J Surg Case Rep 2017; 2017:rjx055. [PMID: 28458861 PMCID: PMC5400489 DOI: 10.1093/jscr/rjx055] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2016] [Revised: 02/20/2017] [Accepted: 03/06/2017] [Indexed: 01/29/2023] Open
Abstract
Midline neck lumps are commonly recognized in clinical practice. Nonetheless, we present an unusual case of a 24-year-old Bangladeshi man who has a slowly growing midline neck lump. The characteristic lump did not move on swallowing and was more pronounced on coughing suggesting an external laryngocoele as a main differential. The patient underwent urgent surgical excision of the lump. Further histopathology findings were consistent with the diagnosis of a bronchogenic cyst which is deemed rare with such presentation.
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Affiliation(s)
- Mohammed Farid
- Head and Neck Surgery, The Royal London Hospital, Barts Health NHS Trust, London, UK
| | - Philip Michael
- Department of Otolaryngology, Royal Victorian Eye and Ear Hospital, Melbourne, Australia
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Thaller P, Blanchet C, Badr M, Mesnage R, Leboucq N, Mondain M, Cambonie G. Neonatal respiratory distress syndrome revealing a cervical bronchogenic cyst: a case report. BMC Pediatr 2015; 15:72. [PMID: 26112048 PMCID: PMC4491209 DOI: 10.1186/s12887-015-0363-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/17/2014] [Accepted: 04/13/2015] [Indexed: 12/17/2022] Open
Abstract
Background Bronchogenic cyst is a congenital malformation, rarely located in the cervical region and almost never involved in a neonate with acute respiratory distress in the delivery room. Case presentation A female newborn with respiratory distress syndrome caused by a large left cervical mass. Intubation was difficult due to tracheal deviation. Magnetic resonance imaging confirmed a left cervical cyst displacing the trachea and esophagus laterally. Surgical excision was performed via a cervical approach on the 5th day, and pathological examination revealed a bronchogenic cyst. The patient's course was complicated by left vocal cord paralysis and necrotic lesions in the glottic and subglottic regions; she required a tracheostomy on the 13th day. Inflammatory stenosis in the subglottic region required balloon dilation once, 20 days later. Proximal esophageal stenosis induced transient upper airway obstruction with salivary stasis. Decannulation was performed at 2 months and the patient was discharged 10 days later. Conclusion A bronchogenic cyst can exceptionally obstruct the airways in the neonatal period. Surgical excision is necessary, but postoperative complications may occur if the cyst is in close contact with the trachea and esophagus, including necrotic and stenotic lesions of the upper aerodigestive tract. In those situations, tracheostomy may be necessary for mechanical ventilation weaning and the initiation of oral feeding.
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Affiliation(s)
- Penelope Thaller
- Department of Neonatology and Pediatric Intensive Care Unit, Hôpital Arnaud de Villeneuve, 371 Avenue du Doyen Gaston Giraud, 34295, Montpellier Cedex 5, France.
| | - Catherine Blanchet
- Department of Pediatric Otorhinolaryngology, Hôpital Arnaud de Villeneuve, 371 Avenue du Doyen Gaston Giraud, 34295, Montpellier Cedex 5, France.
| | - Maliha Badr
- Department of Neonatology and Pediatric Intensive Care Unit, Hôpital Arnaud de Villeneuve, 371 Avenue du Doyen Gaston Giraud, 34295, Montpellier Cedex 5, France.
| | - Renaud Mesnage
- Department of Neonatology and Pediatric Intensive Care Unit, Hôpital Arnaud de Villeneuve, 371 Avenue du Doyen Gaston Giraud, 34295, Montpellier Cedex 5, France.
| | - Nicolas Leboucq
- Department of Neuroradiology, CHU Montpellier, F-34000, Montpellier, France.
| | - Michel Mondain
- Department of Pediatric Otorhinolaryngology, Hôpital Arnaud de Villeneuve, 371 Avenue du Doyen Gaston Giraud, 34295, Montpellier Cedex 5, France.
| | - Gilles Cambonie
- Department of Neonatology and Pediatric Intensive Care Unit, Hôpital Arnaud de Villeneuve, 371 Avenue du Doyen Gaston Giraud, 34295, Montpellier Cedex 5, France.
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Jun HH, Kim SM, Lee YS, Hong SW, Chang HS, Park CS. Cervical bronchogenic cysts mimic metastatic lymph nodes during thyroid cancer surgery. Ann Surg Treat Res 2014; 86:227-31. [PMID: 24851222 PMCID: PMC4024933 DOI: 10.4174/astr.2014.86.5.227] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2013] [Revised: 01/03/2014] [Accepted: 01/03/2014] [Indexed: 11/30/2022] Open
Abstract
Purpose Although congenital bronchogenic cysts in the cervical region, especially in the thyroid or perithyroidal area, are rare, distinguishing them from other cervical cystic lesions (e.g., thyroglossal duct and branchial cleft cysts) and metastatic cervical lymph nodes is difficult preoperatively. Additionally, cystic degeneration of metastatic lymph nodes is common in patients with thyroid cancer. We investigated the clinical characteristics and proper treatment for individuals with cervical bronchogenic cysts. Methods Of the 18,900 patients treated for thyroid cancer, 18 patients with pathologically confirmed bronchogenic cysts were retrospectively reviewed. Bilateral total thyroidectomy or less than total thyroidectomy with central compartment node dissection, including cystic mass excision was done and cystic mass was confirmed by postoperative pathologic examination. Results All cervical bronchogenic cysts were asymptomatic. Their mean size was 1.2 cm (range, 0.3 to 3 cm). Of these 18 patients, 15 did not have any abnormal radiological findings, except for lymphadenopathy during preoperative evaluations. Most bronchogenic cysts were detected around the thyroid and paratracheal areas. On preoperative imaging and intraoperatively, most were indistinguishable from metastatic cervical lymph nodes or other cystic lesions. Conclusion Although cervical bronchogenic cysts are rare and benign, they should be distinguished from other cystic cervical masses, especially metastatic cervical lymph nodes associated with thyroid cancer. Possible cervical bronchogenic cysts found during thyroid cancer evaluation or surgery should be surgically excised.
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Affiliation(s)
- Hak Hoon Jun
- Department of Surgery, CHA Bundang Medical Center, CHA University, Seongnam, Korea
| | - Seok Mo Kim
- Department of Surgery, Thyroid Cancer Center, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
| | - Yong Sang Lee
- Department of Surgery, Thyroid Cancer Center, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
| | - Soon Won Hong
- Department of Pathology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
| | - Hang-Seok Chang
- Department of Surgery, Thyroid Cancer Center, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
| | - Cheong Soo Park
- Department of Surgery, Thyroid Cancer Center, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
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Crespo Del Hierro J, Esteban Álvarez V, Ruiz Gonzalez M, Lopez Perez R. Cervical bronchogenic cysts. ACTA OTORRINOLARINGOLOGICA ESPANOLA 2012; 64:379-81. [PMID: 22682651 DOI: 10.1016/j.otorri.2012.02.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2011] [Revised: 02/18/2012] [Accepted: 02/21/2012] [Indexed: 10/28/2022]
Affiliation(s)
- Jorge Crespo Del Hierro
- Servicio de Otorrinolaringología, Hospital General Universitario de Ciudad Real, Ciudad Real, España.
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Dobros W, Burda K, Guzik K, Koziel J, Potempa J. Apoptotic cell clearance in chronic inflammation of lateral neck cysts. Eur Arch Otorhinolaryngol 2011; 269:965-70. [PMID: 21755330 PMCID: PMC3275742 DOI: 10.1007/s00405-011-1703-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2011] [Accepted: 06/29/2011] [Indexed: 11/26/2022]
Abstract
The mechanism driving accumulation of large numbers of apoptotic and necrotic neutrophils in inflamed lateral neck cysts (LNC), in the absence of infection, remains obscure. The cellular content of cysts obtained from 17 patients was co-cultured with human macrophages. Phagocytosis levels of cyst-derived neutrophils were determined and compared to the uptake of spontaneously apoptotic neutrophils. Simultaneously, the expression of cytokines in macrophages exposed to cyst contents was measured. In comparison to spontaneously apoptotic neutrophils, the phagocytosis of LNC-derived neutrophils by macrophages was inefficient. An inverse correlation between neutrophil content in LNC and their uptake was observed. Macrophages co-cultured with cyst contents responded with variable expression of IL-6, TNF-α and IL-10. The hindered clearance of apoptotic neutrophils in LNC may lead to secondary necrosis of these cells and stimulation of the inflammatory reaction. Together with local production of anti-inflammatory cytokines, this may fuel chronic inflammation in the cysts.
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Affiliation(s)
- Wieslaw Dobros
- Department of Otolaryngology, Regional Hospital, ul. Lwowska 178A, 33-100 Tarnow, Poland
| | - Karolina Burda
- Department of Microbiology, Faculty of Biochemistry, Biophysics and Biotechnology, Jagiellonian University, ul. Gronostajowa 7, 30-387 Kraków, Poland
| | - Krzysztof Guzik
- Department of Immunology, Faculty of Biochemistry, Biophysics and Biotechnology, Jagiellonian University, ul. Gronostajowa 7, 30-387 Kraków, Poland
| | - Joanna Koziel
- Department of Microbiology, Faculty of Biochemistry, Biophysics and Biotechnology, Jagiellonian University, ul. Gronostajowa 7, 30-387 Kraków, Poland
| | - Jan Potempa
- Department of Microbiology, Faculty of Biochemistry, Biophysics and Biotechnology, Jagiellonian University, ul. Gronostajowa 7, 30-387 Kraków, Poland
- Oral Health and Systemic Research Facility, School of Dentistry, University of Louisville, Louisville, KY 40202 USA
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Magliocca KR, Ricalde P, Vincek V, Bhattacharyya I, Cohen DM. Bronchogenic cyst with intraoral and extraoral components. J Oral Maxillofac Surg 2011; 69:2604-7. [PMID: 21549475 DOI: 10.1016/j.joms.2011.01.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2010] [Accepted: 01/06/2011] [Indexed: 11/17/2022]
Affiliation(s)
- Kelly R Magliocca
- Department of Oral and Maxillofacial Diagnostic Sciences, University of Florida, Gainesville, FL 32608, USA.
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Abstract
INTRODUCTION Bronchogenic cyst is pathology of the respiratory track. It consists of a defect during the embryological development of the tracheobronchial tree. Most common presentation is as a solid or cystic mass located in mediastinum, and it is usually diagnosed in relation to respiratory problems or recurrent infections in children. In adulthood, it is a rare pathology, and its diagnosis is usually incidental. CASE REPORT We present a case of a patient with a paraesophageal cystic mass suggestive of intraabdominal esophageal duplication cyst but, after the histopathological examination, was discovered to be a bronchogenic cyst, something extremely rare as in most cases of subdiaphragmatic location; bronchogenic cysts appear as retroperitoneal lesions. DISCUSSION After we review the current literature, surgical extirpation appears to be the treatment of choice due to potential complications, and laparoscopic approach is a feasibily and safe procedure for this pathology up to date.
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Shah SK, Stayer SE, Hicks MJ, Brandt ML. Suprasternal bronchogenic cyst. J Pediatr Surg 2008; 43:2115-7. [PMID: 18970953 DOI: 10.1016/j.jpedsurg.2008.07.029] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/05/2008] [Revised: 07/20/2008] [Accepted: 07/25/2008] [Indexed: 01/29/2023]
Abstract
Bronchogenic cysts are congenital anomalies that are typically found in the mediastinum or within the lung. Subcutaneous and cutaneous lesions are rare and most likely represent ectopic or displaced mesenchyme during early development. We report the presentation and results of resection of a suprasternal, subcutaneous bronchogenic cyst in a 23-month-old female infant that was successfully treated with simple excision.
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Affiliation(s)
- Samir K Shah
- Michael E DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX 77030, USA
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Markogiannakis H, Fleming B, Dina R. Parathyroid tissue in an adult's cervical bronchogenic cyst. Virchows Arch 2008; 453:307-8. [PMID: 18759135 DOI: 10.1007/s00428-008-0655-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2008] [Revised: 08/08/2008] [Accepted: 08/12/2008] [Indexed: 11/30/2022]
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