Abstract
Between 1966 and 1996, 17 patients, comprising 1 child and 16 adults, underwent surgical treatment for bronchogenic cysts at the National Cancer Center Hospital. The bronchogenic cysts were located in the mediastinum in 11 patients and in the pulmonary parenchyma in 6. Of the 17 patients, 5 (29.4%) manifested symptoms, being more frequently seen in those with intrapulmonary cysts than in those with mediastinal cysts. Chest radiographs were ineffective for accurate preoperative diagnosis, but accurate diagnosis was possible with 69.2% of computed tomography (CT) scans and 100% of magnetic resonance imaging (MRI) scans. MRI also proved very useful for qualitatively diagnosing the mediastinal tumors as cystic or solid. Surgery was performed through a thoracotomy in 14 patients and by video-assisted thoracic surgery (VATS) in 3 patients, achieving complete resection in 16 patients. In one patient, a mediastinal bronchogenic cyst was excised by VATS and incompletely resected because of tight adhesion to the membranous part of the trachea; however, no late complication or recurrence developed after the residual cystic wall had been ablated by electrocautery. VATS, which is an easy procedure to perform with only minimal surgical invasion, may be indicated for bronchogenic cysts if patients who undergo incomplete resection can be followed up carefully. Recent advances in imaging techniques have made it unnecessary to perform surgical excision for diagnostic confirmation, but we recommend surgery for most patients to relieve symptoms and prevent complications.
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References
Shamji FM, Sachs HJ, Perkins DG (1988) Cystic disease of the lungs. Surg Clin North Am 68:581–620
St Georges R, Deslauriers J, Duranceau A, Vaillancourt R, Beauchamp CT, Page A, Brisson J (1991) Clinical spectrum of bronchogenic cysts of the mediastinum and lung in the adult. Ann Thorac Surg 52:6–13
Maier HC (1948) Bronchogenic cysts of the mediastinum. Ann Surg 127:476–502
Rogers BM, Harman PK, Johnson AM (1986) Bronchopulmonary foregut malformations: the spectrum of anomalies. Ann Surg 203:517–524
Patel SR, Meeker DP, Biscotti CV, Kirby TJ, Rice TW (1994) Presentation and management of bronchogenic cysts in the adult. Chest 106:79–85
Rogers LF, Osmer JC (1964) Bronchogenic cyst. A review of 46 cases. AJR 91:273–283
Ramenofsky ML, Leape LL, McCauley RGK (1979) Bronchogenic cyst. J Pediatr Surg 14:219–224
Nakata H, Nakayama C, Kimoto T, Nakayama T, Tsukamoto Y, Nobe T, Suzuki H (1982) Computed tomography of mediastinal bronchogenic cysts. J Comput Assist Tomogr 6:733–738
Murayama S, Murakami J, Watanabe H, Sakai S (1995) Signal intensity characteristics of mediastinal cystic masses on T1-weighted MRI. J Comput Assist Tomogr 19:188–191
Barakos JA, Brown JJ, Brescia RJ, Higgins CB (1989) High signal intensity lesions of the chest in MR imaging. J Comput Assist Tomogr 13:797–802
Okada Y, Mori H, Maeda T, Obashi A, Itoh Y, Doi K (1996) Congenital mediastinal bronchogenic cyst with malignant transformation: an autopsy report. Pathol Int 46:594–600
Fontenelle LJ, Armstrong RG, Stanford W, Lindberg EF, Dooley BN (1971) The asymptomatic mediastinal mass. Arch Surg 102:98–102
Behrend A, Kravitz CH (1951) Sarcoma arising in bronchogenic cyst. Surgery 29:142–144
Larkin JC Jr, Phillips S (1955) Carcinoma complicating cyst of lung. Dis Chest 27:453–457
Miralles Lozano F, Gonzalez-Maritez B, Luna More S, Valencia Rodriguez A (1981) Carcinoma arising in a calcified bronchogenic cysts. Respiration 42:135–137
Lewis RJ, Caccavale RJ, Sisler GE (1992) Imaged thoracoscopic surgery: a new thoracic technique for resection of mediastinal cysts. Ann Thorac Surg 53:318–320
Ikeda K, Suzuki H, Kitada M, Yamazaki K, Hirata S, Kubo Y (1993) Resection of posterior mediastinal cyst under thoracoscopy (in Japanese). Nippon Kyobu Geka Gakkai Zasshi (J Jpn Thorac Surg) 41:1110–1113
Read CA, Moront M, Carangelo R, Holt RW, Richardson M (1991) Recurrent bronchogenic cyst. An argument for incomplete surgical excision. Arch Surg 126:1306–1308
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Kanemitsu, Y., Nakayama, H., Asamura, H. et al. Clinical features and management of bronchogenic cysts: Report of 17 cases. Surg Today 29, 1201–1205 (1999). https://doi.org/10.1007/BF02482273
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DOI: https://doi.org/10.1007/BF02482273