Bronchogenic cyst
| Bronchogenic cyst | |
| DiseasesDB | 1707 |
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| MeSH | D009404 |
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Bronchogenic cyst Microchapters |
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Bronchogenic cyst On the Web |
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American Roentgen Ray Society Images of Bronchogenic cyst |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor: Joanna Ekabua, M.D. [2]
Synonyms and keywords: Bronchial cyst
Overview
Bronchogenic cyst is a rare benign congenital malformation of the 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/orweight 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.
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Bronchogenic cyst from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Study of Choice | History and Symptoms | Physical Examination | Laboratory Findings | Electrocardiogram | Echocardiography and Ultrasound |CT | MRI | Ultrasound | Other imaging findings | Other Diagnostic Studies
Treatment
Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies
Surgery is the mainstay of treatment for bronchogenic cyst even when the patients are asymptomatic,[1]conservative approach is not approved.[2] Surgery is imperative with symptoms such as [3]
- Dyspnea
- Dysphagia
- Pain
- Purulent sputum
- Hemoptysis
Most commonly used approaches for complete excision of bronchogenic cysts are[3][4][1][5]
Other procedures include
- Endoscopic submucosal tunnel dissection[1][4]
- Percutaneous catheter drainage or endoscopic ultrasonographic guided-fine needle aspiration[4] with sterile alcohol ablation has been used in selected high-risk patients, especially adults, but has no place in pediatric therapeutics.[6]
- video-assisted thorascopic surgery[7][4][5][8]
- Transtracheal needle aspiration[9]
- Craniotomy with resection for cranial bronchogenic cystcraniotomy with resection[10]
- Sternotomy for cardiac cyst[11]
- Laminectomy for intraspinal cyst[12][13]
- Marsupialisation[14]
Complete surgical resection is curative.[6][15] Risk during surgery is usually low, complications include but are not limited to persistent air leak,[3] pulmonary and vascular compressions, vascular, pleural, tracheobronchial, pulmonary, mediastinal and diaphragmatic adhesions,[2] inflammatory stenosis,[16] and thrid degree heart block.[11]
Case Studies
Template:WikiDoc Sources
CME Category::Cardiology
- ↑ 1.0 1.1 1.2 Yang X, Zong Y, Zhao HY, Wu YD, Ji M (2019). "Complete excision of esophageal bronchogenic cyst by endoscopic submucosal tunnel dissection: a case presentation". BMC Gastroenterol. 19 (1): 155. doi:10.1186/s12876-019-1072-3. PMC 6714396 Check
|pmc=value (help). PMID 31462259. - ↑ 2.0 2.1 Aktoğu S, Yuncu G, Halilçolar H, Ermete S, Buduneli T (1996). "Bronchogenic cysts: clinicopathological presentation and treatment". Eur Respir J. 9 (10): 2017–21. doi:10.1183/09031936.96.09102017. PMID 8902460.
- ↑ 3.0 3.1 3.2 Sarper A, Ayten A, Golbasi I, Demircan A, Isin E (2003). "Bronchogenic cyst". Tex Heart Inst J. 30 (2): 105–8. PMC 161894. PMID 12809250.
- ↑ 4.0 4.1 4.2 4.3 Han C, Lin R, Yu J, Zhang Q, Zhang Y, Liu J; et al. (2016). "A Case Report of Esophageal Bronchogenic Cyst and Review of the Literature With an Emphasis on Endoscopic Ultrasonography Appearance". Medicine (Baltimore). 95 (11): e3111. doi:10.1097/MD.0000000000003111. PMC 4839937. PMID 26986156.
- ↑ 5.0 5.1 Ayub II, Balakrishnan H, Arshad AM, Manimaran N, Thangaswamy D, Chockalingam C (2019). "A 44-Year-Old Man With Nonproductive Cough and Sensation of Heaviness Over the Upper Chest". Chest. 155 (3): e65–e68. doi:10.1016/j.chest.2018.09.035. PMID 30846076.
- ↑ 6.0 6.1 Teissier N, Elmaleh-Bergès M, Ferkdadji L, François M, Van den Abbeele T (2008). "Cervical bronchogenic cysts: usual and unusual clinical presentations". Arch Otolaryngol Head Neck Surg. 134 (11): 1165–9. doi:10.1001/archotol.134.11.1165. PMID 19015445.
- ↑ Legras A, Mordant P, Gibault L, Hernigou A, Le Pimpec Barthes F, Riquet M (2014). "[Diaphragmatic bronchogenic cyst: an exceptional location]". Rev Pneumol Clin. 70 (6): 357–61. doi:10.1016/j.pneumo.2014.05.002. PMID 25131363.
- ↑ Jung HS, Kim DK, Lee GD, Sim HJ, Choi SH, Kim HR; et al. (2014). "Video-assisted thoracic surgery for bronchogenic cysts: is this the surgical approach of choice?". Interact Cardiovasc Thorac Surg. 19 (5): 824–9. doi:10.1093/icvts/ivu228. PMID 25038917.
- ↑ Cohn JR, Wechsler R, Zawid J, Brodovsky HS (1987). "Resolution of a mediastinal cyst by transtracheal needle aspiration". Pa Med. 90 (3): 64, 66. PMID 3562032.
- ↑ Bian B, Yu M, Liu S, Li S, Wei Y, Zhang B (2019). "A suprasellar bronchogenic cyst: A case report". Medicine (Baltimore). 98 (30): e16650. doi:10.1097/MD.0000000000016650. PMC 6709100 Check
|pmc=value (help). PMID 31348319. - ↑ 11.0 11.1 Olsen M, Mitchell TA, Percival TJ, Helsel BS (2015). "Interatrial Bronchogenic Cyst Resection". Ann Thorac Surg. 100 (2): 709–11. doi:10.1016/j.athoracsur.2014.10.025. PMID 26234845.
- ↑ Zou MX, Hu JR, Kang YJ, Li J, Lv GH, She XL (2015). "Bronchogenic cyst of the conus medullaris with spinal cord tethering: a case report and review of the literature". Int J Clin Exp Pathol. 8 (4): 3937–42. PMC 4466965. PMID 26097578.
- ↑ Lee HD, Han SH, Park SB, Ko Y, Lee KH (2017). "An intradural extramedullary bronchogenic cyst in the thoracolumbar spine: A case report". Medicine (Baltimore). 96 (50): e9263. doi:10.1097/MD.0000000000009263. PMC 5815783. PMID 29390371.
- ↑ Candy N, Young A, Devadass A, Dean A, McMillen J, Trivedi R (2017). "Dual lumbar bronchogenic and arachnoid cyst presenting with sciatica and left foot drop". Acta Neurochir (Wien). 159 (10): 2029–2032. doi:10.1007/s00701-017-3284-z. PMID 28762109.
- ↑ Ramenofsky ML, Leape LL, McCauley RG (1979). "Bronchogenic cyst". J Pediatr Surg. 14 (3): 219–24. doi:10.1016/s0022-3468(79)80474-1. PMID 480084.
- ↑ Thaller P, Blanchet C, Badr M, Mesnage R, Leboucq N, Mondain M; et al. (2015). "Neonatal respiratory distress syndrome revealing a cervical bronchogenic cyst: a case report". BMC Pediatr. 15: 72. doi:10.1186/s12887-015-0363-2. PMC 4491209. PMID 26112048.