Bronchogenic cyst—a rare case mimicking a laryngocoele

Farid, Mohammed; Michael, Philip

doi:10.1093/jscr/rjx055

Cited by 6 publications

(4 citation statements)

References 20 publications

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“…It was difficult to distinguish this disease from other diseases by preoperative imaging alone ( 8 ). Therefore, histopathological examination is critical to the final diagnosis of BCs ( 3 , 4 , 8 , 25 ). The wall structure of BCs is the same as that of bronchial wall.…”

Section: Discussionmentioning

confidence: 99%

Pediatric bronchogenic cysts in the head and neck region: A study of 10 surgical cases and a review of the literature

Chen

Wang

et al. 2022

Front. Pediatr.

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ObjectiveTo explore the clinical characteristics and surgical treatment of children with bronchogenic cysts (BCs) in the head and neck region.MethodsA retrospective study of 10 pediatric patients with BCs in the head and neck region treated in Shanghai Children's Hospital during 2011 to 2022 was performed.ResultsBased on their pathological diagnosis, 10 patients with BCs in the head and neck were identified. The most common location was the neck (8 patients, 80%; 2 midline neck, 6 lateral neck), followed by the ventral tip of tongue (1 patient), and the posterior pharyngeal wall (1 patient). Misdiagnosed as lymphangioma in 5 cases, cyst in 3 cases, thyroglossal duct cyst (TGDC) in 2 cases and congenital pyriform sinus fistula (CPSF) in 1 case preoperative. The median follow-up period after surgery was 4.68 (range, 0.67–9.25) years. All 10 patients underwent complete resection without recurrence or other complications.ConclusionsAlthough extremely rare, BCs should be considered in the differential diagnosis of midline and lateral neck masses or intraoral cysts in children. Surgical excision is recommended in BCs, and the diagnosis is definitively confirmed by histopathology.

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Section: Discussionmentioning

confidence: 99%

Pediatric bronchogenic cysts in the head and neck region: A study of 10 surgical cases and a review of the literature

Chen

Wang

et al. 2022

Front. Pediatr.

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“…Pathological examination is the gold standard for diagnosis of bronchogenic cysts, and three pathological criteria must be met: first, the cyst must have an overlying smooth muscle layer; second, it must contain epithelium derived from the foregut; and lastly, it must be attached to part of the foregut tissue. Pathological examination reveals that bronchogenic cysts occur in one or more tissues of the respiratory system, including the ciliated columnar epithelium, smooth muscle, cartilage, and fibrous connective tissue ( 2 – 4 , 25 , 26 ).…”

Section: Discussionmentioning

confidence: 99%

“…During this period, all types of abnormal germs fall off and migrate, and since the secretions cannot be discharged, a bronchogenic cyst forms at the migration site. Due to the low incidence rate, the existing literature on head and neck bronchogenic cysts consists mostly of single case reports (2)(3)(4), and since a bronchogenic cyst in the pharynx is rare, the rates of misdiagnosis and missed diagnosis before surgery are high. Diagnosis mainly depends on intraoperative findings and postoperative pathology.…”

Section: Introductionmentioning

confidence: 99%

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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“…In the early stages of these diseases there are no complaints, later on -carcinomatous mass appears on the lateral area of the neck which is increasing gradually. Duration of disease (from the moment of discovering a tumour until surgery) is different: up to 6 months -71.8% of patients, from 6 months to 1 year -15.4%, more than 1 year -12.8% [6]. BC quickly grows in the surrounding tissues, its mobility becomes limited, and precision of contours becomes lost.…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Problems Accompanying Branhyogenic Cancer – A Clinical Case

et al. 2020

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Tumours and tumorous lesions of head and neck account for 10% of all oncological pathologies. Branhyogenic cancer is found in 4.5% of patients with lateral cysts in the neck. The article highlights the results of research the clinical case of branhyogenic cancer, provide its clinical and morphological analysis. The aim of our work was to study the clinical case of bronchial cancer, providing clinical and pathomorphological analysis. Examination and treatment was conducted in accordance with the clinical protocol using the diagnostic criteria necessary for management of patients diagnosed with tumours and tumorous lesions in a particular clinical case. We applied ultrasound examination of the locus, angiography of head and neck vessels with tomohexol and with 3D reconstruction, histological examination of surgical specimens (macroscopy and microscopy). On the basis of clinical investigaton, ultrasound examination, angiography clinical diagnosis was formulated – lateral cyst on the left side of the neck. A radical surgical removal of the mass was conducted. Histopathological conclusion: there is a proliferation of cystic transitional cell epithelium with the locus of invasive squamous cell carcinoma in the cystic wall that suggests malignant transformation of bronchogenic cyst. Final diagnosis: branhyogenic cancer. Thorough examination and analysis of a clinical case demonstrates that the development of branhyogenic cancer, is histo-genetically associated with lateral cysts in the neck. Complexity of diagnosing and high percentage of malignancy induces to more early discovery and removal of lateral cysts in the neck .

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Bronchogenic cyst—a rare case mimicking a laryngocoele

Cited by 6 publications

References 20 publications

Pediatric bronchogenic cysts in the head and neck region: A study of 10 surgical cases and a review of the literature

Pediatric bronchogenic cysts in the head and neck region: A study of 10 surgical cases and a review of the literature

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

Diagnostic Problems Accompanying Branhyogenic Cancer – A Clinical Case

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