Clinical spectrum of bronchogenic cysts of the mediastinum and lung in the adult

St-Georges, Régent; Deslauriers, Jean; Duranceau, André; Vaillancourt, Richard; Deschamps, Claude; Beauchamp, Gilles; Pagé, A; Brisson, Jacques

doi:10.1016/0003-4975(91)91409-o

Cited by 326 publications

(276 citation statements)

References 21 publications

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“…Th ey can be found in the mediastinum and pulmonary parenchyma, depending on the phase of gestation they develop in, with the majority of cysts (60-80%) occurring in the mediastinum [2]. Risk of symptoms caused by compression of surrounding structures seems to be accounted for more by location of the cyst, than volume of the cyst, with cysts located in the superior mediastinum producing more symptoms than those located in the inferior mediastinum [7].…”

Section: Discussionmentioning

confidence: 99%

“…For symptomatic cysts, surgical resection is generally advocated [2]. However, controversy remains for asymptomatic patients.…”

Section: Discussionmentioning

confidence: 99%

“…However, controversy remains for asymptomatic patients. Some authors state that resection of the asymptomatic cyst is indicated, because once they become symptomatic, resection is more diffi cult and increases the risk of complications [2,7]. It was observed before that in a series of 86 patients, 72% were symptomatic and 82% had a cyst that was either symptomatic or complicated (i.e.…”

Section: Discussionmentioning

confidence: 99%

“…Cysts that arise early during gestaCorrespondence: Cornelis G. Vos, MD, Department of Surgery, VU University Medical Center, De Boelelaan 1117, 1081 HV Amsterdam, Th e Netherlands, E-mail: c.vos@vumc.nl tion occur mainly within the mediastinum and seldom communicate with the bronchial tree. Intraparenchymal cysts develop from aberrant budding in a later stage and can have bronchial communication [2]. Bronchogenic cysts are benign lesions and are often detected in the asymptomatic patient as an incidental fi nding with imaging studies.…”

Section: Introductionmentioning

confidence: 99%

“…Th erefore a defi nitive preoperative diagnosis is frequently diffi cult to obtain. Surgical resection in the symptomatic patient is recommended [1,2]. However, in asymptomatic patients, the indication for surgery is controversial because the natural history of bronchogenic cysts is unknown and an unknown percentage of asymptomatic patients remain undetected during life.…”

Section: Introductionmentioning

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%

“…For symptomatic cysts, surgical resection is generally advocated [2]. However, controversy remains for asymptomatic patients.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%