Recurrent Mediastinal Bronchogenic Cyst

Metersky, Mark L.; Moskowitz, Harold; Thayer, John O.

doi:10.1159/000196454

Cited by 14 publications

(2 citation statements)

References 9 publications

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“…Abnormal budding of the ventral foregut, the future tracheobronchial tree, in the ensuing development of the lungs results in anomalies Á/ bronchogenic cysts, pulmonary sequestration and tracheal lobe [3]. These buds migrate abnormally during the course of development and settle in different intra-or extra-thoracic locations, such as the abdomen [3], the esophagus [2], the retroperitoneum [3], the subcutaneous tissues [10], or the neck [2]. An embryologic explanation can be offered for upward-migrating cysts; the course of migration starts around the carina and extends upwards along different trajectories, either parallel to the trachea, deep into the neck, or towards the skin.…”

Section: Discussionmentioning

confidence: 99%

Cervical bronchogenic cyst: asymptomatic neck mass in an adult male

Bocciolini

Dall’Olio

Cunsolo

et al. 2006

Acta Oto-Laryngologica

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Bronchogenic cysts are rare congenital malformations of ventral foregut development. They are usually located in the mediastinum and intrapulmonary regions. Localization in the cervical area is unusual and the majority of cases reported have been found in the pediatric population: the literature reports few cases in adults. We describe a 57-year-old male who presented an asymptomatic right lateral neck mass. Diagnostic studies included chest X-ray, pharyngo-esophagus double-contrast X-ray, computed tomography (CT), and bronchoscopy. The mass was excised through a transverse right cervical skin incision. The right lateral neck mass of the patient was identified as a bronchogenic cyst. The embryology, the presentation, the pathological and radiological evaluation, treatment of the cyst and a review of the English literature are reported in this paper. Cervical bronchogenic cysts are usually diagnosed in the pediatric population; these lesions are rare in adults. We suggest that the clinical observation of an asymptomatic lateral neck mass in an adult should include the possibility of a bronchogenic cyst in the differential diagnosis. Surgical excision is the elective treatment for this tumor, in order to prevent complications including infection, compression symptoms, malignant transformation, and the rare but fatal air embolism.

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