|
|
| (19 intermediate revisions by the same user not shown) |
| Line 6: |
Line 6: |
| Bronchogenic [[cyst]] is a rare [[benign]] [[congenital malformation]] of the [[respiratory tract|tracheobronchial tree]] derived from the ventral aspect of the [[foregut]]. It most frequently occurs in the middle mediastinum, in the early stages of [[gestation]] or in the lungs, at the later stages of gestation. Atypical locations may be explained by its embryologic origin. | | Bronchogenic [[cyst]] is a rare [[benign]] [[congenital malformation]] of the [[respiratory tract|tracheobronchial tree]] derived from the ventral aspect of the [[foregut]]. It most frequently occurs in the middle mediastinum, in the early stages of [[gestation]] or in the lungs, at the later stages of gestation. Atypical locations may be explained by its embryologic origin. |
| Patients with bronchogenic [[cyst]] may be asymptomatic or present with [[respiratory distress]], increasing [[stridor]], feeding difficulties, [[chest pain]], [[cough]], progressive [[dysphagia]], [[odynophagia]], purulent sputum, [[dyspnea]], [[anorexia]] and/or[[ weight loss]]. | | Patients with bronchogenic [[cyst]] may be asymptomatic or present with [[respiratory distress]], increasing [[stridor]], feeding difficulties, [[chest pain]], [[cough]], progressive [[dysphagia]], [[odynophagia]], purulent sputum, [[dyspnea]], [[anorexia]] and/or[[ weight loss]]. |
| Radiologic findings are useful to differentiate bronchogenic [[cysts]] from other [[cysts]] but may they not always confirm the diagnosis. Diagnosis is confirmed by surgical excision, which is curative, and histological findings of ciliated [[columnar epithelial]] lining of the [[cyst]]. | | Radiologic findings are useful to differentiate bronchogenic [[cysts]] from other [[cysts]] but they may not always confirm the diagnosis. Diagnosis is confirmed by surgical excision, which is curative, and histological findings of ciliated [[columnar epithelial]] lining of the [[cyst]]. |
| | |
| ==Historical Perspective== | | ==Historical Perspective== |
| There is limited information about the historical perspective of bronchogenic [[cyst]]. | | There is limited information about the historical perspective of bronchogenic [[cyst]]. |
| ==Classification== | | ==Classification== |
| Bronchogenic [[cyst]] can be classified based on location; pulmonary and extrapulmonary.<ref name="pmid17859095">{{cite journal| author=Maier HC| title=Bronchiogenic Cysts of the Mediastinum. | journal=Ann Surg | year= 1948 | volume= 127 | issue= 3 | pages= 476-502 | pmid=17859095 | doi=10.1097/00000658-194803000-00010 | pmc=1513836 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17859095 }} </ref><ref name="pmid12809250">{{cite journal| author=Sarper A, Ayten A, Golbasi I, Demircan A, Isin E| title=Bronchogenic cyst. | journal=Tex Heart Inst J | year= 2003 | volume= 30 | issue= 2 | pages= 105-8 | pmid=12809250 | doi= | pmc=161894 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12809250 }} </ref> | | Bronchogenic [[cyst]] can be classified based on location; pulmonary and extrapulmonary. |
| | |
| ==Pathophysiology== | | ==Pathophysiology== |
| It is thought that bronchogenic [[cyst]] is the result of abnormal budding of the ventral <ref name="pmid26986156">{{cite journal| author=Han C, Lin R, Yu J, Zhang Q, Zhang Y, Liu J | display-authors=etal| title=A Case Report of Esophageal Bronchogenic Cyst and Review of the Literature With an Emphasis on Endoscopic Ultrasonography Appearance. | journal=Medicine (Baltimore) | year= 2016 | volume= 95 | issue= 11 | pages= e3111 | pmid=26986156 | doi=10.1097/MD.0000000000003111 | pmc=4839937 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26986156 }} </ref> portion of the primitive [[foregut]]<ref name="pmid17859095">{{cite journal| author=Maier HC| title=Bronchiogenic Cysts of the Mediastinum. | journal=Ann Surg | year= 1948 | volume= 127 | issue= 3 | pages= 476-502 | pmid=17859095 | doi=10.1097/00000658-194803000-00010 | pmc=1513836 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17859095 }} </ref><ref name="pmid12809250">{{cite journal| author=Sarper A, Ayten A, Golbasi I, Demircan A, Isin E| title=Bronchogenic cyst. | journal=Tex Heart Inst J | year= 2003 | volume= 30 | issue= 2 | pages= 105-8 | pmid=12809250 | doi= | pmc=161894 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12809250 }} </ref><ref name="pmid19015445">{{cite journal| author=Teissier N, Elmaleh-Bergès M, Ferkdadji L, François M, Van den Abbeele T| title=Cervical bronchogenic cysts: usual and unusual clinical presentations. | journal=Arch Otolaryngol Head Neck Surg | year= 2008 | volume= 134 | issue= 11 | pages= 1165-9 | pmid=19015445 | doi=10.1001/archotol.134.11.1165 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19015445 }} </ref>destined to become the [[respiratory tract|tracheobronchial tree]]<ref name="pmid30725658">{{cite journal| author=| title=StatPearls | journal= | year= 2020 | volume= | issue= | pages= | pmid=30725658 | doi= | pmc= | url= }} </ref> between days 26 - 40 of [[gestation]]. | | It is thought that bronchogenic [[cyst]] is the result of abnormal budding of the ventral portion of the primitive [[foregut]] between days 26 - 40 of [[gestation]]. |
| | |
| ==Causes== | | ==Causes== |
| The cause of bronchogenic cysts is undetermined. | | The cause of bronchogenic cysts is undetermined. |
| Line 18: |
Line 21: |
| Differentiating bronchogenic [[cyst]] from [[Lung abscess physical examination|lung abcess]], [[Mediastinal mass differential diagnosis|thymic cyst]], and [[Mediastinal mass differential diagnosis|esophageal duplication cysts]]. | | Differentiating bronchogenic [[cyst]] from [[Lung abscess physical examination|lung abcess]], [[Mediastinal mass differential diagnosis|thymic cyst]], and [[Mediastinal mass differential diagnosis|esophageal duplication cysts]]. |
| ==Bronchogenic cyst epidemiology and demographics|Epidemiology and Demographics== | | ==Bronchogenic cyst epidemiology and demographics|Epidemiology and Demographics== |
| There is no racial predilection to bronchogenic [[cyst]]. Bronchogenic [[cyst]] is slightly more [[prevalence|prevalent]] in men and often remain undetected till the third or fourth decade of life.<ref name="pmid10554866">{{cite journal| author=Lardinois D, Gugger M, Ris HB| title=Bronchogenic cyst of the left lower lobe associated with severe hemoptysis. | journal=Eur J Cardiothorac Surg | year= 1999 | volume= 16 | issue= 3 | pages= 382-3 | pmid=10554866 | doi=10.1016/s1010-7940(99)00226-2 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10554866 }} </ref><ref name="pmid8902460">{{cite journal| author=Aktoğu S, Yuncu G, Halilçolar H, Ermete S, Buduneli T| title=Bronchogenic cysts: clinicopathological presentation and treatment. | journal=Eur Respir J | year= 1996 | volume= 9 | issue= 10 | pages= 2017-21 | pmid=8902460 | doi=10.1183/09031936.96.09102017 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8902460 }} </ref> | | There is no racial predilection to bronchogenic [[cyst]]. Bronchogenic [[cyst]] is slightly more [[prevalence|prevalent]] in men and often remain undetected until the third or fourth decade of life. |
| | |
| ==Risk factors== | | ==Risk factors== |
| There are no established risk factors for bronchogenic [[cyst]]. | | There are no established risk factors for bronchogenic [[cyst]]. |
| Line 27: |
Line 31: |
|
| |
|
| The symptoms of bronchogenic [[cyst]] usually develop in the third to fourth decade of life and start with symptoms such as | | The symptoms of bronchogenic [[cyst]] usually develop in the third to fourth decade of life and start with symptoms such as |
| *[[Dyspnea]]<ref name="pmid12809250">{{cite journal| author=Sarper A, Ayten A, Golbasi I, Demircan A, Isin E| title=Bronchogenic cyst. | journal=Tex Heart Inst J | year= 2003 | volume= 30 | issue= 2 | pages= 105-8 | pmid=12809250 | doi= | pmc=161894 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12809250 }} </ref><ref name="pmid29895549">{{cite journal| author=Mesland JB, Gérard L, Van Caenegem O, Castanares-Zapatero D| title=Bronchogenic cyst infection presenting as pleuropericarditis. | journal=BMJ Case Rep | year= 2018 | volume= 2018 | issue= | pages= | pmid=29895549 | doi=10.1136/bcr-2018-225081 | pmc=6011476 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29895549 }} </ref><ref name="pmid30098916">{{cite journal| author=Yildiz H, Reichwein R, Poncelet A, Lacroix V, D'abadie P, Ghaye B | display-authors=etal| title=An unusual case of cardiac tamponade: Bronchogenic cyst infection due to Salmonella bredeney. | journal=J Infect Chemother | year= 2019 | volume= 25 | issue= 2 | pages= 151-153 | pmid=30098916 | doi=10.1016/j.jiac.2018.07.012 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30098916 }} </ref><ref name="pmid26234845">{{cite journal| author=Olsen M, Mitchell TA, Percival TJ, Helsel BS| title=Interatrial Bronchogenic Cyst Resection. | journal=Ann Thorac Surg | year= 2015 | volume= 100 | issue= 2 | pages= 709-11 | pmid=26234845 | doi=10.1016/j.athoracsur.2014.10.025 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26234845 }} </ref> | | *[[Dyspnea]] |
| *Chronic dry [[cough]]<ref name="pmid12809250">{{cite journal| author=Sarper A, Ayten A, Golbasi I, Demircan A, Isin E| title=Bronchogenic cyst. | journal=Tex Heart Inst J | year= 2003 | volume= 30 | issue= 2 | pages= 105-8 | pmid=12809250 | doi= | pmc=161894 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12809250 }} </ref><ref name="pmid29895549">{{cite journal| author=Mesland JB, Gérard L, Van Caenegem O, Castanares-Zapatero D| title=Bronchogenic cyst infection presenting as pleuropericarditis. | journal=BMJ Case Rep | year= 2018 | volume= 2018 | issue= | pages= | pmid=29895549 | doi=10.1136/bcr-2018-225081 | pmc=6011476 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29895549 }} </ref><ref name="pmid26234845">{{cite journal| author=Olsen M, Mitchell TA, Percival TJ, Helsel BS| title=Interatrial Bronchogenic Cyst Resection. | journal=Ann Thorac Surg | year= 2015 | volume= 100 | issue= 2 | pages= 709-11 | pmid=26234845 | doi=10.1016/j.athoracsur.2014.10.025 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26234845 }} </ref> | | *Chronic dry [[cough]] |
| *[[Rhinitis]]<ref name="pmid28696968">{{cite journal| author=DiBardino DM, Brenner K| title=Bronchogenic Cyst Abscess. | journal=J Bronchology Interv Pulmonol | year= 2017 | volume= 24 | issue= 3 | pages= 31-32 | pmid=28696968 | doi=10.1097/LBR.0000000000000375 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28696968 }} </ref> | | *[[Rhinitis]] |
| *[[chest pain|Chest discomfort/pain]]<ref name="pmid12809250">{{cite journal| author=Sarper A, Ayten A, Golbasi I, Demircan A, Isin E| title=Bronchogenic cyst. | journal=Tex Heart Inst J | year= 2003 | volume= 30 | issue= 2 | pages= 105-8 | pmid=12809250 | doi= | pmc=161894 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12809250 }} </ref><ref name="pmid27068723">{{cite journal| author=Chumakova M, Morris-Stiff G, Khachaturov V, Ibrahim S| title=Bronchogenic cyst arising from the crus of the left hemidiaphragm. | journal=BMJ Case Rep | year= 2016 | volume= 2016 | issue= | pages= | pmid=27068723 | doi=10.1136/bcr-2015-213658 | pmc=4840741 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27068723 }} </ref><ref name="pmid29895549">{{cite journal| author=Mesland JB, Gérard L, Van Caenegem O, Castanares-Zapatero D| title=Bronchogenic cyst infection presenting as pleuropericarditis. | journal=BMJ Case Rep | year= 2018 | volume= 2018 | issue= | pages= | pmid=29895549 | doi=10.1136/bcr-2018-225081 | pmc=6011476 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29895549 }} </ref><ref name="pmid30098916">{{cite journal| author=Yildiz H, Reichwein R, Poncelet A, Lacroix V, D'abadie P, Ghaye B | display-authors=etal| title=An unusual case of cardiac tamponade: Bronchogenic cyst infection due to Salmonella bredeney. | journal=J Infect Chemother | year= 2019 | volume= 25 | issue= 2 | pages= 151-153 | pmid=30098916 | doi=10.1016/j.jiac.2018.07.012 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30098916 }} </ref> | | *[[chest pain|Chest discomfort/pain]] |
| *[[Neck pain]]<ref name="pmid30702626">{{cite journal| author=Chen F, Marx S, Zhang C, Cao J, Yu Y, Chen D| title=Intramedullary bronchogenic cyst in the foramen magnum region accompanied with syringomyelia: A case report and literature review. | journal=Medicine (Baltimore) | year= 2019 | volume= 98 | issue= 5 | pages= e14353 | pmid=30702626 | doi=10.1097/MD.0000000000014353 | pmc=6380722 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30702626 }} </ref> | | *[[Neck pain]] |
| *Flu-like symptoms and [[Fever]]<ref name="pmid12809250">{{cite journal| author=Sarper A, Ayten A, Golbasi I, Demircan A, Isin E| title=Bronchogenic cyst. | journal=Tex Heart Inst J | year= 2003 | volume= 30 | issue= 2 | pages= 105-8 | pmid=12809250 | doi= | pmc=161894 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12809250 }} </ref><ref name="pmid29895549">{{cite journal| author=Mesland JB, Gérard L, Van Caenegem O, Castanares-Zapatero D| title=Bronchogenic cyst infection presenting as pleuropericarditis. | journal=BMJ Case Rep | year= 2018 | volume= 2018 | issue= | pages= | pmid=29895549 | doi=10.1136/bcr-2018-225081 | pmc=6011476 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29895549 }} </ref><ref name="pmid30098916">{{cite journal| author=Yildiz H, Reichwein R, Poncelet A, Lacroix V, D'abadie P, Ghaye B | display-authors=etal| title=An unusual case of cardiac tamponade: Bronchogenic cyst infection due to Salmonella bredeney. | journal=J Infect Chemother | year= 2019 | volume= 25 | issue= 2 | pages= 151-153 | pmid=30098916 | doi=10.1016/j.jiac.2018.07.012 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30098916 }} </ref> | | *Flu-like symptoms and [[Fever]] |
| *Purulent [[sputum]]<ref name="pmid12809250">{{cite journal| author=Sarper A, Ayten A, Golbasi I, Demircan A, Isin E| title=Bronchogenic cyst. | journal=Tex Heart Inst J | year= 2003 | volume= 30 | issue= 2 | pages= 105-8 | pmid=12809250 | doi= | pmc=161894 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12809250 }} </ref> | | *Purulent [[sputum]] |
| *[[abdominal pain|Abdominal discomfort]] | | *[[abdominal pain|Abdominal discomfort]] |
| *[[paralysis|Limb weakness]] | | *[[paralysis|Limb weakness]] |
| *[[Paroxysmal supraventricular tachycardia]]<ref name="pmid26329634">{{cite journal| author=Mega S| title=[Anterior Mediastinal Bronchogenic Cyst Associated with paroxysmal supraventricular tachycardia ; Report of a Case]. | journal=Kyobu Geka | year= 2015 | volume= 68 | issue= 10 | pages= 871-3 | pmid=26329634 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26329634 }} </ref> | | *[[Paroxysmal supraventricular tachycardia]] |
| *[[Atrioventricular block]]<ref name="pmid28139004">{{cite journal| author=Miwa E, Tani T, Okada Y, Furukawa Y| title=A rare cardiac tumor: Bronchogenic cyst of interatrial septum. | journal=Echocardiography | year= 2017 | volume= 34 | issue= 3 | pages= 474-475 | pmid=28139004 | doi=10.1111/echo.13445 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28139004 }} </ref> | | *[[Atrioventricular block]] |
| *[[Amnesia|Memory impairment]]<ref name="pmid31348319">{{cite journal| author=Bian B, Yu M, Liu S, Li S, Wei Y, Zhang B| title=A suprasellar bronchogenic cyst: A case report. | journal=Medicine (Baltimore) | year= 2019 | volume= 98 | issue= 30 | pages= e16650 | pmid=31348319 | doi=10.1097/MD.0000000000016650 | pmc=6709100 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=31348319 }} </ref> | | *[[Amnesia|Memory impairment]] |
| *[[Asthenia]]<ref name="pmid31348319">{{cite journal| author=Bian B, Yu M, Liu S, Li S, Wei Y, Zhang B| title=A suprasellar bronchogenic cyst: A case report. | journal=Medicine (Baltimore) | year= 2019 | volume= 98 | issue= 30 | pages= e16650 | pmid=31348319 | doi=10.1097/MD.0000000000016650 | pmc=6709100 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=31348319 }} </ref><ref name="pmid26097578">{{cite journal| author=Zou MX, Hu JR, Kang YJ, Li J, Lv GH, She XL| title=Bronchogenic cyst of the conus medullaris with spinal cord tethering: a case report and review of the literature. | journal=Int J Clin Exp Pathol | year= 2015 | volume= 8 | issue= 4 | pages= 3937-42 | pmid=26097578 | doi= | pmc=4466965 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26097578 }} </ref><ref name="pmid29390371">{{cite journal| author=Lee HD, Han SH, Park SB, Ko Y, Lee KH| title=An intradural extramedullary bronchogenic cyst in the thoracolumbar spine: A case report. | journal=Medicine (Baltimore) | year= 2017 | volume= 96 | issue= 50 | pages= e9263 | pmid=29390371 | doi=10.1097/MD.0000000000009263 | pmc=5815783 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29390371 }} </ref> | | *[[Asthenia]] |
| *[[Seizure]] and [[loss of consciousness]]<ref name="pmid26969135">{{cite journal| author=Khawar M, Elmahrouk A, Chaikhouni A| title=Air embolism during air flight in a passenger with bronchogenic cyst. | journal=J Thorac Cardiovasc Surg | year= 2016 | volume= 152 | issue= 1 | pages= e1-2 | pmid=26969135 | doi=10.1016/j.jtcvs.2016.02.014 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26969135 }} </ref> | | *[[Seizure]] and [[loss of consciousness]] |
| *[[Dizziness]]<ref name="pmid25780019">{{cite journal| author=Xu Q, Feng Y, Ye K, Zhou Y, Zhan R| title=Bronchogenic cyst in left anterior cranial fossa. | journal=Neurology | year= 2015 | volume= 84 | issue= 11 | pages= 1181-2 | pmid=25780019 | doi=10.1212/WNL.0000000000001368 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25780019 }} </ref> | | *[[Dizziness]] |
| *Lower [[back pain]]<ref name="pmid26097578">{{cite journal| author=Zou MX, Hu JR, Kang YJ, Li J, Lv GH, She XL| title=Bronchogenic cyst of the conus medullaris with spinal cord tethering: a case report and review of the literature. | journal=Int J Clin Exp Pathol | year= 2015 | volume= 8 | issue= 4 | pages= 3937-42 | pmid=26097578 | doi= | pmc=4466965 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26097578 }} </ref> | | *Lower [[back pain]] |
| *[[Urinary incontinence]]<ref name="pmid26097578">{{cite journal| author=Zou MX, Hu JR, Kang YJ, Li J, Lv GH, She XL| title=Bronchogenic cyst of the conus medullaris with spinal cord tethering: a case report and review of the literature. | journal=Int J Clin Exp Pathol | year= 2015 | volume= 8 | issue= 4 | pages= 3937-42 | pmid=26097578 | doi= | pmc=4466965 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26097578 }} </ref> | | *[[Urinary incontinence]] |
|
| |
|
| '''Complication''' | | '''Complication''' |
|
| |
|
| Common complications of bronchogenic [[cyst]] include | | Common complications of bronchogenic [[cyst]] include |
| *[[Tracheal compression]]<ref name="pmid8651761">{{cite journal| author=Ribet ME, Copin MC, Gosselin BH| title=Bronchogenic cysts of the lung. | journal=Ann Thorac Surg | year= 1996 | volume= 61 | issue= 6 | pages= 1636-40 | pmid=8651761 | doi=10.1016/0003-4975(96)00172-5 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8651761 }} </ref><ref name="pmid8902460">{{cite journal| author=Aktoğu S, Yuncu G, Halilçolar H, Ermete S, Buduneli T| title=Bronchogenic cysts: clinicopathological presentation and treatment. | journal=Eur Respir J | year= 1996 | volume= 9 | issue= 10 | pages= 2017-21 | pmid=8902460 | doi=10.1183/09031936.96.09102017 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8902460 }} </ref> | | *[[Tracheal compression]] |
| *Esophageal compression<ref name="pmid12809250">{{cite journal| author=Sarper A, Ayten A, Golbasi I, Demircan A, Isin E| title=Bronchogenic cyst. | journal=Tex Heart Inst J | year= 2003 | volume= 30 | issue= 2 | pages= 105-8 | pmid=12809250 | doi= | pmc=161894 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12809250 }} </ref> | | *Esophageal compression |
| *[[Cough]]<ref name="pmid8651761">{{cite journal| author=Ribet ME, Copin MC, Gosselin BH| title=Bronchogenic cysts of the lung. | journal=Ann Thorac Surg | year= 1996 | volume= 61 | issue= 6 | pages= 1636-40 | pmid=8651761 | doi=10.1016/0003-4975(96)00172-5 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8651761 }} </ref> | | *[[Cough]] |
| *[[Infection]]/[[abscess]]<ref name="pmid8651761">{{cite journal| author=Ribet ME, Copin MC, Gosselin BH| title=Bronchogenic cysts of the lung. | journal=Ann Thorac Surg | year= 1996 | volume= 61 | issue= 6 | pages= 1636-40 | pmid=8651761 | doi=10.1016/0003-4975(96)00172-5 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8651761 }} </ref><ref name="pmid19015445">{{cite journal| author=Teissier N, Elmaleh-Bergès M, Ferkdadji L, François M, Van den Abbeele T| title=Cervical bronchogenic cysts: usual and unusual clinical presentations. | journal=Arch Otolaryngol Head Neck Surg | year= 2008 | volume= 134 | issue= 11 | pages= 1165-9 | pmid=19015445 | doi=10.1001/archotol.134.11.1165 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19015445 }} </ref><ref name="pmid31462259">{{cite journal| author=Yang X, Zong Y, Zhao HY, Wu YD, Ji M| title=Complete excision of esophageal bronchogenic cyst by endoscopic submucosal tunnel dissection: a case presentation. | journal=BMC Gastroenterol | year= 2019 | volume= 19 | issue= 1 | pages= 155 | pmid=31462259 | doi=10.1186/s12876-019-1072-3 | pmc=6714396 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=31462259 }} </ref><ref name="pmid28696968">{{cite journal| author=DiBardino DM, Brenner K| title=Bronchogenic Cyst Abscess. | journal=J Bronchology Interv Pulmonol | year= 2017 | volume= 24 | issue= 3 | pages= 31-32 | pmid=28696968 | doi=10.1097/LBR.0000000000000375 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28696968 }} </ref> | | *[[Infection]]/[[abscess]] |
| *[[Hemoptysis]]<ref name="pmid12809250">{{cite journal| author=Sarper A, Ayten A, Golbasi I, Demircan A, Isin E| title=Bronchogenic cyst. | journal=Tex Heart Inst J | year= 2003 | volume= 30 | issue= 2 | pages= 105-8 | pmid=12809250 | doi= | pmc=161894 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12809250 }} </ref><ref name="pmid8651761">{{cite journal| author=Ribet ME, Copin MC, Gosselin BH| title=Bronchogenic cysts of the lung. | journal=Ann Thorac Surg | year= 1996 | volume= 61 | issue= 6 | pages= 1636-40 | pmid=8651761 | doi=10.1016/0003-4975(96)00172-5 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8651761 }} </ref> | | *[[Hemoptysis]] |
| *[[Superior vena cava syndrome]]<ref name="pmid8902460">{{cite journal| author=Aktoğu S, Yuncu G, Halilçolar H, Ermete S, Buduneli T| title=Bronchogenic cysts: clinicopathological presentation and treatment. | journal=Eur Respir J | year= 1996 | volume= 9 | issue= 10 | pages= 2017-21 | pmid=8902460 | doi=10.1183/09031936.96.09102017 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8902460 }} </ref><ref name="pmid25750196">{{cite journal| author=Hayabuchi Y, Sakata M, Kagami S| title=Bronchogenic cyst compressing the pulmonary artery and the left atrium. | journal=Eur Heart J Cardiovasc Imaging | year= 2015 | volume= 16 | issue= 7 | pages= 746 | pmid=25750196 | doi=10.1093/ehjci/jev059 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25750196 }} </ref><ref name="pmid31008767">{{cite journal| author=Parsons C, Zhao CB, Huang J| title=Gigantic Pericardial Bronchogenic Cyst Compressing Superior Vena Cava and Coronary Artery. | journal=Anesthesiology | year= 2019 | volume= 131 | issue= 3 | pages= 667 | pmid=31008767 | doi=10.1097/ALN.0000000000002739 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=31008767 }} </ref> | | *[[Superior vena cava syndrome]] |
| *[[Pneumothorax]]<ref name="pmid12809250">{{cite journal| author=Sarper A, Ayten A, Golbasi I, Demircan A, Isin E| title=Bronchogenic cyst. | journal=Tex Heart Inst J | year= 2003 | volume= 30 | issue= 2 | pages= 105-8 | pmid=12809250 | doi= | pmc=161894 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12809250 }} </ref><ref name="pmid8902460">{{cite journal| author=Aktoğu S, Yuncu G, Halilçolar H, Ermete S, Buduneli T| title=Bronchogenic cysts: clinicopathological presentation and treatment. | journal=Eur Respir J | year= 1996 | volume= 9 | issue= 10 | pages= 2017-21 | pmid=8902460 | doi=10.1183/09031936.96.09102017 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8902460 }} </ref> | | *[[Pneumothorax]] |
| *[[Pleurisy]]<ref name="pmid8902460">{{cite journal| author=Aktoğu S, Yuncu G, Halilçolar H, Ermete S, Buduneli T| title=Bronchogenic cysts: clinicopathological presentation and treatment. | journal=Eur Respir J | year= 1996 | volume= 9 | issue= 10 | pages= 2017-21 | pmid=8902460 | doi=10.1183/09031936.96.09102017 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8902460 }} </ref> | | *[[Pleurisy]] |
| *[[Pneumonia]]<ref name="pmid12809250">{{cite journal| author=Sarper A, Ayten A, Golbasi I, Demircan A, Isin E| title=Bronchogenic cyst. | journal=Tex Heart Inst J | year= 2003 | volume= 30 | issue= 2 | pages= 105-8 | pmid=12809250 | doi= | pmc=161894 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12809250 }} </ref><ref name="pmid8902460">{{cite journal| author=Aktoğu S, Yuncu G, Halilçolar H, Ermete S, Buduneli T| title=Bronchogenic cysts: clinicopathological presentation and treatment. | journal=Eur Respir J | year= 1996 | volume= 9 | issue= 10 | pages= 2017-21 | pmid=8902460 | doi=10.1183/09031936.96.09102017 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8902460 }} </ref> | | *[[Pneumonia]] |
| *[[Lymphangioma]]<ref name="pmid19015445">{{cite journal| author=Teissier N, Elmaleh-Bergès M, Ferkdadji L, François M, Van den Abbeele T| title=Cervical bronchogenic cysts: usual and unusual clinical presentations. | journal=Arch Otolaryngol Head Neck Surg | year= 2008 | volume= 134 | issue= 11 | pages= 1165-9 | pmid=19015445 | doi=10.1001/archotol.134.11.1165 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19015445 }} </ref> | | *[[Lymphangioma]] |
| *[[bleeding|Haemorrhage]]<ref name="pmid19015445">{{cite journal| author=Teissier N, Elmaleh-Bergès M, Ferkdadji L, François M, Van den Abbeele T| title=Cervical bronchogenic cysts: usual and unusual clinical presentations. | journal=Arch Otolaryngol Head Neck Surg | year= 2008 | volume= 134 | issue= 11 | pages= 1165-9 | pmid=19015445 | doi=10.1001/archotol.134.11.1165 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19015445 }} </ref><ref name="pmid31462259">{{cite journal| author=Yang X, Zong Y, Zhao HY, Wu YD, Ji M| title=Complete excision of esophageal bronchogenic cyst by endoscopic submucosal tunnel dissection: a case presentation. | journal=BMC Gastroenterol | year= 2019 | volume= 19 | issue= 1 | pages= 155 | pmid=31462259 | doi=10.1186/s12876-019-1072-3 | pmc=6714396 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=31462259 }} </ref> | | *[[bleeding|Haemorrhage]] |
| *[[Neoplasia]](adenocarcinoma, mucoepidermoid carcinoma, anaplastic carcinoma, and leiomyosarcoma)<ref name="pmid19015445">{{cite journal| author=Teissier N, Elmaleh-Bergès M, Ferkdadji L, François M, Van den Abbeele T| title=Cervical bronchogenic cysts: usual and unusual clinical presentations. | journal=Arch Otolaryngol Head Neck Surg | year= 2008 | volume= 134 | issue= 11 | pages= 1165-9 | pmid=19015445 | doi=10.1001/archotol.134.11.1165 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19015445 }} </ref><ref name="pmid17874358">{{cite journal| author=Chuang KH, Huang TW, Cheng YL, Chen JC, Tzao C, Chang H | display-authors=etal| title=Esophageal bronchogenic cyst: a rare entity. | journal=Z Gastroenterol | year= 2007 | volume= 45 | issue= 9 | pages= 958-60 | pmid=17874358 | doi=10.1055/s-2007-963069 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17874358 }} </ref><ref name="pmid26986156">{{cite journal| author=Han C, Lin R, Yu J, Zhang Q, Zhang Y, Liu J | display-authors=etal| title=A Case Report of Esophageal Bronchogenic Cyst and Review of the Literature With an Emphasis on Endoscopic Ultrasonography Appearance. | journal=Medicine (Baltimore) | year= 2016 | volume= 95 | issue= 11 | pages= e3111 | pmid=26986156 | doi=10.1097/MD.0000000000003111 | pmc=4839937 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26986156 }} </ref><ref name="pmid31462259">{{cite journal| author=Yang X, Zong Y, Zhao HY, Wu YD, Ji M| title=Complete excision of esophageal bronchogenic cyst by endoscopic submucosal tunnel dissection: a case presentation. | journal=BMC Gastroenterol | year= 2019 | volume= 19 | issue= 1 | pages= 155 | pmid=31462259 | doi=10.1186/s12876-019-1072-3 | pmc=6714396 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=31462259 }} </ref> | | *[[Neoplasia]](adenocarcinoma, mucoepidermoid carcinoma, anaplastic carcinoma, and leiomyosarcoma) |
| *[[cyst|Rupture]]<ref name="pmid12809250">{{cite journal| author=Sarper A, Ayten A, Golbasi I, Demircan A, Isin E| title=Bronchogenic cyst. | journal=Tex Heart Inst J | year= 2003 | volume= 30 | issue= 2 | pages= 105-8 | pmid=12809250 | doi= | pmc=161894 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12809250 }} </ref><ref name="pmid17874358">{{cite journal| author=Chuang KH, Huang TW, Cheng YL, Chen JC, Tzao C, Chang H | display-authors=etal| title=Esophageal bronchogenic cyst: a rare entity. | journal=Z Gastroenterol | year= 2007 | volume= 45 | issue= 9 | pages= 958-60 | pmid=17874358 | doi=10.1055/s-2007-963069 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17874358 }} </ref><ref name="pmid31462259">{{cite journal| author=Yang X, Zong Y, Zhao HY, Wu YD, Ji M| title=Complete excision of esophageal bronchogenic cyst by endoscopic submucosal tunnel dissection: a case presentation. | journal=BMC Gastroenterol | year= 2019 | volume= 19 | issue= 1 | pages= 155 | pmid=31462259 | doi=10.1186/s12876-019-1072-3 | pmc=6714396 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=31462259 }} </ref> | | *[[cyst|Rupture]] |
| *[[Air embolism]]<ref name="pmid26969135">{{cite journal| author=Khawar M, Elmahrouk A, Chaikhouni A| title=Air embolism during air flight in a passenger with bronchogenic cyst. | journal=J Thorac Cardiovasc Surg | year= 2016 | volume= 152 | issue= 1 | pages= e1-2 | pmid=26969135 | doi=10.1016/j.jtcvs.2016.02.014 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26969135 }} </ref> | | *[[Air embolism]] |
| *[[Cardiac tamponade]]<ref name="pmid30098916">{{cite journal| author=Yildiz H, Reichwein R, Poncelet A, Lacroix V, D'abadie P, Ghaye B | display-authors=etal| title=An unusual case of cardiac tamponade: Bronchogenic cyst infection due to Salmonella bredeney. | journal=J Infect Chemother | year= 2019 | volume= 25 | issue= 2 | pages= 151-153 | pmid=30098916 | doi=10.1016/j.jiac.2018.07.012 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30098916 }} </ref> | | *[[Cardiac tamponade]] |
| *[[Ventricular septal defect]]<ref name="pmid29897508">{{cite journal| author=Blesneac C, Horvath E, Muntean I, Benedek T, Toganel R| title=Intracardiac bronchogenic cyst associated with ventricular septal defect: an extremely rare feature in children. | journal=Eur Heart J Cardiovasc Imaging | year= 2018 | volume= 19 | issue= 9 | pages= 1074 | pmid=29897508 | doi=10.1093/ehjci/jey078 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29897508 }} </ref> | | *[[Ventricular septal defect]] |
| *[[syringomyelia]]<ref name="pmid30702626">{{cite journal| author=Chen F, Marx S, Zhang C, Cao J, Yu Y, Chen D| title=Intramedullary bronchogenic cyst in the foramen magnum region accompanied with syringomyelia: A case report and literature review. | journal=Medicine (Baltimore) | year= 2019 | volume= 98 | issue= 5 | pages= e14353 | pmid=30702626 | doi=10.1097/MD.0000000000014353 | pmc=6380722 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30702626 }} </ref> | | *[[syringomyelia]] |
| | '''Prognosis''' |
|
| |
|
| '''Prognosis'''
| | [[Prognosis]] is generally good, a [[Morbidity & Mortality]] rate of 20% has been recorded in older patients treated for bronchogenic [[cyst]]. |
|
| |
|
| [[Prognosis]] is generally good,<ref name="pmid19015445">{{cite journal| author=Teissier N, Elmaleh-Bergès M, Ferkdadji L, François M, Van den Abbeele T| title=Cervical bronchogenic cysts: usual and unusual clinical presentations. | journal=Arch Otolaryngol Head Neck Surg | year= 2008 | volume= 134 | issue= 11 | pages= 1165-9 | pmid=19015445 | doi=10.1001/archotol.134.11.1165 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19015445 }} </ref> a [[Morbidity & Mortality]] rate of 20% has been recorded in older patients treated for bronchogenic [[cyst]].<ref name="pmid21420068">{{cite journal| author=Makhija Z, Moir CR, Allen MS, Cassivi SD, Deschamps C, Nichols FC | display-authors=etal| title=Surgical management of congenital cystic lung malformations in older patients. | journal=Ann Thorac Surg | year= 2011 | volume= 91 | issue= 5 | pages= 1568-73; discussion 1573 | pmid=21420068 | doi=10.1016/j.athoracsur.2011.01.080 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21420068 }} </ref>
| |
| == Diagnostic Study of Choice == | | == Diagnostic Study of Choice == |
| [[Excision]] and [[H&E stain|Hematoxylin and Eosin staining]]<ref name="pmid17874358">{{cite journal| author=Chuang KH, Huang TW, Cheng YL, Chen JC, Tzao C, Chang H | display-authors=etal| title=Esophageal bronchogenic cyst: a rare entity. | journal=Z Gastroenterol | year= 2007 | volume= 45 | issue= 9 | pages= 958-60 | pmid=17874358 | doi=10.1055/s-2007-963069 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17874358 }} </ref> | | [[Excision]] and [[H&E stain|Hematoxylin and Eosin staining]]. |
| ===== Diagnostic results ===== | | ===== Diagnostic results ===== |
| Cillated [[columar epithelia]] cells is definitive for broncogenic [[cyst]].<ref name="pmid17874358">{{cite journal| author=Chuang KH, Huang TW, Cheng YL, Chen JC, Tzao C, Chang H | display-authors=etal| title=Esophageal bronchogenic cyst: a rare entity. | journal=Z Gastroenterol | year= 2007 | volume= 45 | issue= 9 | pages= 958-60 | pmid=17874358 | doi=10.1055/s-2007-963069 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17874358 }} </ref><ref name="pmid26986156">{{cite journal| author=Han C, Lin R, Yu J, Zhang Q, Zhang Y, Liu J | display-authors=etal| title=A Case Report of Esophageal Bronchogenic Cyst and Review of the Literature With an Emphasis on Endoscopic Ultrasonography Appearance. | journal=Medicine (Baltimore) | year= 2016 | volume= 95 | issue= 11 | pages= e3111 | pmid=26986156 | doi=10.1097/MD.0000000000003111 | pmc=4839937 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26986156 }} </ref><ref name="pmid31462259">{{cite journal| author=Yang X, Zong Y, Zhao HY, Wu YD, Ji M| title=Complete excision of esophageal bronchogenic cyst by endoscopic submucosal tunnel dissection: a case presentation. | journal=BMC Gastroenterol | year= 2019 | volume= 19 | issue= 1 | pages= 155 | pmid=31462259 | doi=10.1186/s12876-019-1072-3 | pmc=6714396 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=31462259 }} </ref><ref name="pmid8902460">{{cite journal| author=Aktoğu S, Yuncu G, Halilçolar H, Ermete S, Buduneli T| title=Bronchogenic cysts: clinicopathological presentation and treatment. | journal=Eur Respir J | year= 1996 | volume= 9 | issue= 10 | pages= 2017-21 | pmid=8902460 | doi=10.1183/09031936.96.09102017 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8902460 }} </ref> | | Cillated [[columar epithelia]] cells is definitive for broncogenic [[cyst]]. |
| ==== Diagnostic criteria ==== | | ==== Diagnostic criteria ==== |
| Cystic mass producing compressive symptoms. | | Cystic mass-producing compressive symptoms. |
| | |
| | ==History and symptoms== |
| | The majority of patients with bronchogenic [[cyst]] are [[asymptomatic]] and are diagnosed during investigations for other pathologies. |
| | |
| | When symptomatic, the clinical presentation of bronchogenic [[cyst]] depends on the age of the patient, size and the location of the [[cyst]]. |
| | |
| | '''In infants bronchogenic cyst presents with''' |
| | *[[respiratory distress]] |
| | *Increasing [[stridor]] |
| | *Reccurrent [[croup]] |
| | *Feeding difficulties. |
| | *Palpable [[neck masses|neck mass]] |
| | *[[Duodenal atresia|Non-bilious emesis]] |
| | |
| | '''In children and adults, bronchogenic cyst presents with''' |
| | *Dull [[chest pain]] with radiation to the shoulder in diaphragmatic broncogenic [[cyst]]. |
| | *[[Cough]] |
| | *Progressive [[dysphagia]] |
| | *[[Odynophagia]] |
| | *[[Wheeze|wheezing]] |
| | *Adobminal [[bloating]] |
| | *[[Fever]] |
| | *Palpable [[neck massess|neck mass]] |
| | *[[Empyema|purulent sputum]] |
| | *[[Hemoptysis]] |
| | *[[Dyspnea]] |
| | *[[Anorexia]] and/or [[weight loss]] |
| | *[[Dizziness]] |
| | *[[Paroxysmal supraventricular tachycardia]] |
| | *[[Atrioventricular block]] |
| | *[[Premature atrial contraction|Atrial]] and [[Premature ventricular contraction|ventricular premature complexes]] |
| | *[[Amnesia|Memory impairment]] |
| | *[[Asthenia]] |
| | *[[limp|Limping]] |
| | *[[Seizure]] and [[loss of consciousness]] |
| | *[[Sciatica]] |
| | *[[Back pain]] |
| | *[[Neuralgia]] |
| | *[[Urinary incontinence]] |
| | |
| | ==Physical examinaton== |
| | |
| | Physical examination of patients with bronchogenic [[cyst]] is usually normal. On rare occasions, the following signs can be seen |
| | *[[Cough]] |
| | *[[Wheeze|wheezing]] |
| | *[[Stridor]] |
| | *[[Hemoptysis]] |
| | *[[Dyspnea]] |
| | *[[Tracheal deviation]] |
| | *[[ascites|Fluid-thrill]] |
| | *[[Anorexia]] and/or [[weight loss]] |
| | *[[Fever]] |
| | *[[Asthenia]] |
| | *[[Foot drop]] |
| | *[[Atrophy]] |
| | *[[Heart murmur]] |
| | *[[Tenderness]] |
| | *Cutanous pigmentation |
| | *Negative [[Neurological examination|knee]] and [[Neurological examination|ankle reflexes]] |
| | *[[Hypoesthesia|Numbness]] |
| | |
| | ==Laboratory findings== |
| | An elevated serum [[tumor marker|tumor makers]] CA125 and CA19-9, which is usually suggestive of progression/complication. |
| | |
| | ==CT== |
| | CT scan may be helpful in the diagnosis of bronchogenic [[cyst]]. The density of bronchogenic [[cysts]] is variable from water density to high density due to blood, anthracotic pigment, increased calcium content, or increased protein content of the fluid. Findings on CT scan suggestive of bronchogenic [[cyst]] is an |
| | *[[cyst|Cysic mass]] with air-fluid levels. |
| | *ovoid and well-defined encapsulated low-density [[cyst|cystic mass]] with no contrast enhancement. |
| | *Thin subtle walls. |
| | |
| | ==MRI== |
| | MRI may be helpful in the diagnosis of bronchogenic [[cyst]]. After contrast injection, enhancement of the [[cyst]] is frequently absent. Findings on MRI suggestive of bronchogenic [[cyst]] include |
| | *T1-weighted images show ipointense signal |
| | *T2-weighted images show hyperintense signal. |
| | |
| | ==Ultrasound== |
| | [[ultrasound]] may be helpful in the diagnosis of bronchogenic [[cyst]]. Finding on an [[ultrasound]] suggestive of bronchogenic [[cyst]] include |
| | *On endobronchial [[ultrasound]], an anechoic or hypoechoic fluid-filled solid mass. |
| | *On transthoracic echocardiography revealing intracardiac [[cyst|cystic mass]]. |
| | *On [[Endoscopy|endoscopic ultrasonography]], which demonstartes abdominal anatomic relations of the [[cyst]]. |
| | |
| | ==Other Diagnostic Studies== |
| | Other diagnostic studies for bronchogenic cyst include: |
| | [[Excision]] and [[H&E stain|Hematoxylin and Eosin staining]], which demonstrates ciliated [[columar epithelia]] cells is definitive for bronchogenic [[cyst]] |
| | *[[Immunohistochemistry|Immunohistochemical staining]] of bronchogenic [[cyst]] of the esophagus , which demonstrates a positive expression of CA199 and CA125. |
| | *[[Bronchoscopy]], which demonstrates pink [[cyst|cystic mass]] with bronchial attachment |
| | *[[endoscopy|Gastroendoscopy]] which demonstartes abdominal anatomic relations of the [[cyst]]. |
| | *[[fluorodeoxyglucose]]-[[positron emission tomography]] to confirm [[cyst]] infection. |
| | |
| | ==Treatment== |
| | ===Medical therapy=== |
| | The mainstay of treatment for bronchogenic [[cyst]] is [[Bronchogenic cyst surgery|surgery]]. |
| | ===Surgery=== |
| | Surgery is the mainstay of treatment for bronchogenic [[cyst]] even when the patients are asymptomatic, a conservative approach is not approved. |
| | |
| | ==Primary prevention== |
| | There are no established measures for the primary prevention of bronchogenic [[cyst]]. |
| | ==Secondaryy prevention== |
| | There are no established measures for the secondary prevention of bronchogenic [[cyst]]. |
| | |
|
| |
|
|
| |
|