Intramural Bronchogenic Cysts Mimicking Solid Tumors

Abstract

Despite better diagnostic modalities, the preoperative diagnosis of esophageal bronchogenic cysts remains difficult. We report three cases of misdiagnosed esophageal bronchogenic cysts and discuss the clinical consequences. Institution

Intramural Esophageal Bronchogenic Cyst: Mimicking Malignity and Support of PET-CT in The Diagnosis

“…Endoscopic trans-esophageal needle aspiration and endoscopic mucosal resection are among the reported successful methods for IEBC (1,10). In addition, esophagectomy is one of the treatment options in the suspected malignity and cyst have occurred damages as not to allow primary repair in the esophageal mucosa (4,9). In this case mimicking esophagus carcinoma, which is endemic in eastern of Turkey, esophagus mucosa was intact and there were external compression findings on the endoscopy.…”

“…They are intrathoracically localized close to main bronchi, trachea, esophagus and pericardium. Furthermore, subdiaphragmatic, intrapericardial, intracardiac, cervical and subcutaneous localized bronchogenic cysts have been reported (1,4,6). One of the very rarely seen localization is intramural esophagus (2,7,10).…”

“…Fetal esophagus and trachea are initially laid with ciliated epithelium, and the ciliated epithelium is replaced with squamous epithelium the gestational 17th week. BC are a development caused by the tracheobronchial budding in an abnormal localization in fetal, infant and until adulthood periods (1,3,4). These are often around the trachea-bronchial tree and mediastinal localized unilocular lesions.…”

“…Esophagus develops from the dorsal part of the foregut, while the respiratory system develops from its ventral part. Left and right lungs occur budding from the elongated trachea the end of the 4th week (3,4). Fetal esophagus and trachea are initially laid with ciliated epithelium, and the ciliated epithelium is replaced with squamous epithelium the gestational 17th week.…”

“…The cystotomy and resection of the cystic wall is a general approach applied in the BC surgery via thoracotomy or thoracoscopy. But surgeon have to preserve the esophageal mucosa in this procedure (1,4,9). Endoscopic trans-esophageal needle aspiration and endoscopic mucosal resection are among the reported successful methods for IEBC (1,10).…”