Bronchogenic Cysts of the Lung: Report of 29 Cases

Koşar, Altuğ; Tezel, Çağatay; Örkı, Alpay; Kıral, Hakan; Arman, Bülent

doi:10.1016/j.hlc.2008.10.011

Cited by 39 publications

(52 citation statements)

References 16 publications

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“…Only 2 of those reported showed a lesion located elsewhere on the chest wall. The cutaneous bronchogenic cysts reported in the literature are generally nodular with the entire lesion adherent to the body [6][7][8][9][11][12][13][14][15][16]. Our case is highly unusual because of the pedunculated nature of the lesion.…”

Section: Discussionmentioning

confidence: 68%

“…Malignant degeneration of the cyst, including the development of melanoma has been reported [2,3,19], further supporting the decision for early excision [2,4,6]. The recommended approach is an elliptical incision over the lesion to completely excise an intact cyst and to exclude intrathoracic extension [14,17].…”

Section: Discussionmentioning

confidence: 97%

“…Cutaneous presentations of bronchogenic cysts are rare in all age groups. Previous reports of cutaneous lesions have been described as nodular and adherent and most frequently have a suprasternal location [1,[6][7][8]. Here, we report a unique presentation of a newborn female with a pedunculated mass located on the anterior chest wall, which was identified as a bronchogenic cyst.…”

mentioning

confidence: 79%

“…Although there is some controversy regarding surgical excision of bronchogenic cysts, particularly if they are asymptomatic, it is generally believed that most of the cysts will ultimately become symptomatic with either mass effect, drainage, infection, or evolve into complex cysts [1][2][3][4]6]. Malignant degeneration of the cyst, including the development of melanoma has been reported [2,3,19], further supporting the decision for early excision [2,4,6].…”

Section: Discussionmentioning

confidence: 99%

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Unusual presentation of a cutaneous bronchogenic cyst in an asymptomatic neonate

Kim

Cataletto

Garnet

et al. 2012

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 68%

Section: Discussionmentioning

confidence: 97%

mentioning

confidence: 79%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Unusual presentation of a cutaneous bronchogenic cyst in an asymptomatic neonate

Kim

Cataletto

Garnet

et al. 2012

Journal of Pediatric Surgery

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“…[5][6][7] As removal of symptomatic cysts may be associated with more complications than removal of asymptomatic cysts, 5,6 many authors have suggested that all incidental bronchogenic cysts be surgically removed. 5,6,8 A more recent review, where CJEM N JCMU patients were followed for up to 22 years, showed that 45% of incidentally found asymptomatic bronchogenic cysts become symptomatic 9 and suggested that surgical excision and close follow-up of asymptomatic bronchogenic cysts are both viable options.…”

Section: Learning Pointsmentioning

confidence: 99%

In-flight arterial gas emboli from a ruptured bronchogenic cyst

Mak

Cheung

Mondor

2013

CJEM

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A 48-year-old male was brought to a community emergency department (ED) after an in-flight collapse while on board a commercial aircraft. He had no complaints prior to boarding and had been on multiple previous commercial flights. He had no previous medical history and was on no regular medications. There was no history of alcohol or street drug abuse. Thirty minutes into the flight, he had a generalized tonic-clonic seizure and became comatose. The aircraft was immediately rerouted to get the patient to the nearest hospital. On ED arrival, the patient had a Glasgow Coma Scale score of 3, temperature of 36.6uC (97.8uF), blood pressure of 210/98 mm Hg, heart rate of 78 beats/min (normal sinus rhythm), respiratory rate of 28 breaths/min, oxygen saturation of 90% on 100% O 2 , and blood glucose of 11.0 mmol/L. On examination, there were no external signs of trauma. He had decreased breath sounds bilaterally, with normal heart sounds and no murmurs. His abdomen was soft and showed no evidence of distention. Both pupils were reactive to light but sluggish.The patient was intubated in the ED for airway protection. A postintubation chest radiograph (Figure 1) was performed, which showed appropriate endotracheal tube depth and a large round opacity in the right lower lobe. An initial electrocardiogram showed a heart rate of 102 beats/min (sinus tachycardia) with no signs of right heart strain or ischemia. Initial bloodwork, including a complete blood count, electrolytes, renal function, liver function tests, lactate, international normalized ratio, and partial thromboplastin time, were all within normal limits, except for a white blood cell count of 17.6 3 10 9 /L (normal , 11.0 3 10 9 /L) and a troponin of 0.12 mg/L (normal , 0.10 mg/L). After intubation, the patient went immediately for a computed tomographic (CT) head scan (Figure 2), which was obtained approximately 2 hours after the in-flight seizure. As seen in the image, the CT head scan showed pneumocephalus with multiple locules of air in the brain parenchyma. Given these findings, the patient proceeded to have a CT chest scan (Figure 3) to identify a potential source for the gas emboli. The CT chest scan revealed a large 8 3 9 3 10 cm right lower lobe bronchogenic cyst with an airfluid level. On the CT chest scan, the cyst was also thought to be communicating with a small bronchiole and the pulmonary vasculature.With the diagnosis of cerebral gas emboli, the patient was immediately transferred to a tertiary care hospital for hyperbaric oxygen therapy. At the receiving hospital, to prevent further air emboli and isolate the right lung, bronchoscopy was performed; a right lung block was inserted, and the endotracheal tube was placed in the left main bronchus. A chest tube was placed directly into the bronchogenic cyst to allow for decompression. The patient was subsequently treated in the hyperbaric chamber. Despite aggressive treatment, the patient developed increasing cerebral edema with midbrain compression and bilateral uncal herniation. A postmortem wedge r...

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Mucoepidermoid carcinoma of the lung arising at the primary site of a bronchogenic cyst: Clinical, cytogenetic, and molecular findings

Brassesco

Valera

Lira

et al. 2010

Pediatric Blood & Cancer

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Primary lung tumors are rare in children, and mucoepidermoid carcinoma (MEC) represents less than 10% of them. Additionally, MEC arising from bronchogenic cysts (BC) is particularly unusual. We describe the clinical and genetic findings on a MEC occurring within a previous location of a BC in an adolescent. This particular association has not been previously reported. The lesion revealed normal karyotype without the typical t(11;19)(q21;p13) translocation. Cyclin D1 overexpression (165-fold increase) was demonstrated by real-time PCR although FISH assessment showed normal hybridization at 11q13. Information on these unusual clinical presentations may present relevant insight on tumorigenesis of infrequent pediatric pulmonary tumors.

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Bronchogenic Cysts of the Lung: Report of 29 Cases

Cited by 39 publications

References 16 publications

Unusual presentation of a cutaneous bronchogenic cyst in an asymptomatic neonate

Unusual presentation of a cutaneous bronchogenic cyst in an asymptomatic neonate

In-flight arterial gas emboli from a ruptured bronchogenic cyst

Mucoepidermoid carcinoma of the lung arising at the primary site of a bronchogenic cyst: Clinical, cytogenetic, and molecular findings

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