Excision of a Recurrent Pericardial Cyst Using Video-Assisted Thoracic Surgery

Horita, Keiichi; Sakao, Yukinori; Itoh, Tsuyoshi

doi:10.1378/chest.114.4.1203

Cited by 11 publications

(5 citation statements)

References 2 publications

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“…The prognosis of extramediastinal mesothelial cysts is unclear because they are very rare and there were few reports of recurrent pericardial cyst [8]. However, the prognostic information of PICs may be useful.…”

Section: Discussionmentioning

confidence: 99%

Mesothelial cyst derived from chest wall pleura growing after thoracic surgery: a case report

et al. 2019

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BackgroundIntrathoracic mesothelial cysts almost always arise in the mediastinum, and extramediastinal mesothelial cysts are extremely rare. Here we describe a case of mesothelial cyst derived from the chest wall pleura growing after thoracic surgery.Case presentationA 63-year-old Japanese woman was referred to our department. She had undergone total hysterectomy for cervical carcinoma and two lung wedge resections for metastatic lung cancer on the upper and lower lobes of her right lung and lower lobe of her left lung. After the thoracic surgery, an intrathoracic chest wall mass was found, which grew gradually. Computed tomography demonstrated a 2.0 × 1.8 cm low-density mass without contrast effect. Magnetic resonance imaging demonstrated a low-intensity mass in T1-weighted imaging and a high-intensity mass in T2-weighted imaging. Thoracoscopic excision of the mass was performed. The cystic mass was thought to be derived from her chest wall and was pathologically diagnosed as mesothelial cyst. Five years after the surgery, she has no evidence of recurrence of the cyst or cervical carcinoma.ConclusionsThe genesis of extramediastinal mesothelial cysts may be related to inflammation. From this perspective, extramediastinal mesothelial cysts may have different characteristics from pericardial cysts and resemble peritoneal inclusion cysts. Although, extramediastinal mesothelial cysts are not established, their characteristics resemble peritoneal inclusion cysts; therefore, such interesting intrathoracic cysts should be carefully resected considering the risk.

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Section: Discussionmentioning

confidence: 99%

Mesothelial cyst derived from chest wall pleura growing after thoracic surgery: a case report

et al. 2019

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“…Traditional treatment includes thoracotomy or thoracoscopic removal, but pericardial cysts can also be diagnosed and treated by percutaneous aspiration and injection of ethanol as a sclerosing agent with no evidence of recurrence upon a 3-yr follow-up [9]. Recurrence has been reported after thoracoscopic removal with successful thoracoscopic re-excision [13].…”

Section: Discussionmentioning

confidence: 99%

A 35-year-old male with chronic cough

Moschos¹,

Kalomenidis²,

Roussos³

et al. 2007

European Respiratory Journal

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A 35-yr-old male was examined in the outpatient clinic of the present authors' department. He complained of a dry paroxysmal cough of indeterminate origin that he had noticed 3 months earlier. The cough was associated with a tickling feeling in the throat. There was no association between coughing flares and meals, nasal discharge, season, time of day or body posture. The patient did not recall having symptoms compatible with an upper airway viral infection in the past 3 months and reported no gastro-intestinal symptoms like daily heartburn and regurgitation. He lived in the city, was a lifetime nonsmoker, his previous medical history was unremarkable and he was not taking any medication. He worked as an electronic engineer in a smoke-and dust-free environment and exhibited a type A personality. Upon appearance of the cough 3 months earlier, he had been examined by a physician and had A thorough physical examination and routine laboratory tests, including white blood cell count and differential, red blood cell count, erythrocyte sedimentation rate, liver and renal function tests, serum C-reactive protein and an ECG were normal. Chest ( fig. 1) and paranasal sinus (image not shown) radiographs were taken. Ear, nose and throat assessment was unremarkable. After discontinuing treatment with inhaled salmeterol and fluticasone, simple spirometry pre-and post-bronchodilator (four puffs of 100 mg salbutamol) and bronchoprovocation challenge with methacholine were performed ( fig. 2). The patient was given a peak flow meter and during a monthly observation period his diurnal peak flow variation was below 5% (data not shown).

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“…Nevertheless, surgical biopsy still remains the most important tool in diagnosing these disorders. 6,8 Clearly, biopsy procedures on nonresectable tumors and resections of benign cysts are less liable to produce complications when realized by VATS rather than by thoracotomy or sternotomy. 9 VATS permits good exposure of the entire mediastinum, adequate space for almost all maneuvers of dissection, access to various areas, better evaluation of the anatomic relationship of the tumors, and, possibly, reduction of surgical trauma.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, it is effective in cases requiring radical surgery of malignant tumors. 4 Currently, thoracoscopy can be a useful alternative for the excision of cystic lesions 5,6 or benign mediastinal tumors, as well as for thymectomy in the surgical management of myasthenia gravis. 7 The objective of this report is to analyze the effectiveness and complications of conventional thoracoscopy and video-assisted thoracic surgery (VATS) in the diagnosis and treatment of mediastinal diseases that were indicated on our service.…”

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confidence: 99%