A huge retropharyngeal bronchogenic cyst displacing the posterior wall of the hypopharynx: Case report and review of the literature

Cavaliere, Michele; Cimmino, Mariano; Sicignano, Stefania; Rega, Felice; Maione, Nunzia; Malacario, Francesca; Ugga, Lorenzo; Russo, Camilla

doi:10.1177/1971400916661733

Cited by 3 publications

(1 citation statement)

References 15 publications

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“…Unless secondary infections arise, lesions are large enough to push adjacent structures. [6] Some of these bronchogenic cysts are located at atypical sites, almost leading to difficultly in differentiating them.…”

Section: Discussionmentioning

confidence: 99%

A suprasellar bronchogenic cyst

Bian¹,

Liu

et al. 2019

Medicine

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Rationale: Bronchogenic cysts are mainly benign, congenital abnormalities, originating from the remnants of the primitive foregut. However, intracranial bronchogenic cysts have been rarely observed. Hence, better understanding of the suprasellar bronchogenic cysts is of great significance to properly perform perioperative management. Patient's concerns: A 62-year-old Chinese female was admitted to our hospital due to impairment of memory and asthenia. Diagnosis: Magnetic resonance imaging (MRI) confirmed presence of cystic lesion in the suprasellar region. The patient underwent craniotomy with resection of the cystic mass. The histopathological examinations confirmed diagnosis of bronchogenic cyst as well. Interventions: The cystic lesion was removed without complications. No drugs during follow-up were recommended. Outcomes: After discharge, the patient was advised to undergo MRI for 6 months to 1 year. No evidence of recurrence was found in the first postoperative review. Lessons: Bronchogenic cysts should be considered in differential diagnosis of cystic mass detected in the suprasellar region on MRI. Once the disease is considered, surgical resection is recommended to obtain pathological diagnosis, alleviate clinical symptoms, and prevent complications.

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Section: Discussionmentioning

confidence: 99%

A suprasellar bronchogenic cyst

Bian¹,

Liu

et al. 2019

Medicine

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A rare cause of dysphagia due to retropharyngeal foregut duplication cyst: case report and review of the literature

Confuorto

Alessio

Antonini

et al. 2023

Egypt J Otolaryngol

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Background The retropharyngeal space is a deep compartment of the head and neck region which extends from the base of the skull to the mediastinum, between the posterior pharyngeal wall and vertebral muscles, delimited laterally by carotid sheaths. Pathological processes of the retropharyngeal space are rarely encountered, generally are isolated and painless masses often cystic, and they usually originate from branchial arch anomalies, but only in rare cases, they turn out to be foregut duplication cysts. Foregut duplication cyst is rare congenital malformations arising along primitively derived alimentary tract during the first trimester in the developing embryo, mostly seen in the thorax and abdomen, with just few cases reported in the head and neck region. We report an extremely rare case of a foregut duplication cyst lined with respiratory epithelium located in the retropharyngeal space, at the level of the oropharynx, of an adult patient with dysphagia surgically treated, and we also made an analysis of the published literature about this very uncommon condition. Case presentation A 63-year-old male patient with chronic dysphagia was diagnosed with a retropharyngeal cystic lesion, which was surgically treated. Final pathologic evaluation confirmed the diagnosis of a rare foregut duplication cyst lined with respiratory epithelium. A review of the pertaining published literature about the head and neck foregut duplication cysts was made, with a particular emphasis on retropharyngeal ones. Conclusions Retropharyngeal foregut duplication cysts are a very rare congenital cyst of the head and neck. Clinical symptoms such as dysphagia and dyspnea should be evaluated with fibrolaryngoscopy, and CT and MRI scans are of great significance for definitive diagnosis, which should include the possibility of a foregut duplication cyst in the differential diagnosis. Surgical excision is the elective treatment for this lesion, in order to prevent complications including infection and compression symptoms or eventually malignant transformation.

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A Clinical Analysis of Pharyngeal Bronchogenic Cysts in the Pharynx of Children

Han

Seng

et al. 2021

Front. Pediatr.

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Objective: This study was designed to summarize the clinical characteristics, diagnosis and treatment of pharyngeal bronchogenic cysts in children to help in making the correct diagnosis and developing an appropriate treatment plan.Methods: The clinical data of 13 children with bronchogenic cysts in the pharynx, who were treated in otolaryngology head and neck surgery department between September 2013 and July 2019, were analyzed retrospectively. The clinical characteristics were evaluated, and the related factors for diagnosis and treatment were analyzed. Clinical characteristics and imaging features of three cases whose lesions located in the nasopharyngeal, oropharynx, and laryngopharyngeal were demonstrated.Results: All 13 children were male, the youngest being 4 days old, the oldest 6 years and 6 months, and the median age being 1 year and 4 months. Eight patients were diagnosed during a physical examination, and five patients visited the doctor with different degrees of upper airway obstruction. The mass was located in the nasopharynx in one patient, in the oropharynx in eight patients, and in the laryngopharynx in the other four patients. Computed tomography (CT) scanning, which is helpful for a topical diagnosis, showed a dense homogeneous mass. Electronic nasopharyngoscopy showed cystic masses of different sizes in the pharynx. All the children underwent cyst resection under general anesthesia, and the postoperative pathology result was a bronchogenic cyst. One child was lost to follow-up, but the remaining 12 children were followed up for between 6 months and 6 years, during which no recurrence of a cyst was found.Conclusion: Bronchogenic cysts are a rare cyst of the head and neck, and the most common site of the cyst is the oropharynx. The impact on airway obstruction depends on the location and size of the cyst. CT scanning is of great significance for diagnosis. Surgical treatment should be carried out as soon as possible after diagnosis, as surgery is the most effective way to treat bronchogenic cysts. Follow-ups should be carried out regularly to prevent cyst recurrence.

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A huge retropharyngeal bronchogenic cyst displacing the posterior wall of the hypopharynx: Case report and review of the literature

Cited by 3 publications

References 15 publications

A suprasellar bronchogenic cyst

A suprasellar bronchogenic cyst

A rare cause of dysphagia due to retropharyngeal foregut duplication cyst: case report and review of the literature

A Clinical Analysis of Pharyngeal Bronchogenic Cysts in the Pharynx of Children

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