“…If the cyst is symptomatic, conventional or thoracoscopic enucleation can be applied [6 ± 8]. Alternatives to surgery include transesophageal needle aspiration, and even a successful removal by transoral endoscopic resection has been reported for a cyst that was located in the esophageal wall [9]. Frequently, complete surgical excision is the therapy of choice in symptomatic cysts, due to the high risk of infection, rupture, hemorrhage, or, although extremely rare, malignant degeneration [10,11].…”