Chest
Clinical InvestigationsThoracic SurgeryPresentation and Management of Bronchogenic Cysts in the Adult
Section snippets
Patients and Methods
The medical records of all patients who underwent surgical excision of pathologically confirmed bronchogenic cysts at our institution during the period from 1975 to 1992 were reviewed. Data were collected with regard to demographics, mode of presentation, reliability of common imaging techniques (chest radiograph, tomogram, and CT), management, surgical findings, and incidence of operative and postoperative complications stratified by symptom status at the time of surgery, To determine the
Results
During a 17-year period between 1975 and 1992, 18 adult patients underwent surgical excision of thoracic bronchogenic cysts. There were 12 men and 6 women and their ages ranged from 17 to 70 years (mean 37.6 years). The follow-up period after surgical excision ranged from 12 months to 11 years with one patient being lost to follow-up because of residence abroad.
Discussion
Bronchogenic cysts are one of the most common bronchopulmonary malformations.30 Though more commonly mediastinal in location,2 cysts arising at a later stage of development may be intraparenchyma12 and in rare cases have occurred in presternal tissues,31 diaphragm,32 spine,2 skin and subcutaneous tissue,33 pericardium,34 neck,35 abdomen,36 or have extended from the mediastinum through the diaphragm into the abdomen—“dumbbell” cysts.37 The cyst wall is lined by ciliated pseudostratified columnar
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Manuscript revision accepted November 17.