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Clinical Characteristics and Management of Intrathoracic Bronchogenic Cysts: A Single Center Experience

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Author(s)
Deok Heon LeeChang-Kwon ParkDong-Yoon KumJae-Bum KimIlseon Hwang
Keimyung Author(s)
Hwang, Il SeonPark, Chang KwonKeum, Dong YoonKim, Jae Bum
Department
Dept. of Pathology (병리학)
Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
Journal Title
Korean Journal of Thoracic and Cardiovascular Surgery
Issued Date
2011
Volume
44
Issue
4
Keyword
Bronchogenic cystMediastinumLung
Abstract
Background

The aim of this study is to investigate the clinical characteristics and management of intrathoracic bronchogenic cysts.


Materials and Methods

Twenty-four (n=24) patients with intrathoracic bronchogenic cysts were treated surgically between August 1990 and December 2009 at our institution. Patients were divided into two groups by bronchogenic cyst location: mediastinal or intrapulmonary. Symptoms at diagnosis, radiologic findings, locations, surgical methods, pathological findings, and surgical outcomes were investigated retrospectively from consecutive patient medical records.


Results

There were 12 females (50.0%). The mean age was 26.8 (range, 5 to 64) years. The mean follow-up period was 27.3 (range, 1 to 121) months. There were 15 (62.5%) mediastinal and 9 (37.5%) intrapulmonary bronchogenic cysts. Symptoms occurred in 8 patients with mediastinal bronchogenic cysts (53.3%) and 5 patients with intrapulmonary bronchogenic cysts (55.6%) (p=1.000). On computed tomography (CT), 7 patients (46.7%) showed homogenous solid masses in mediastinal bronchogenic cysts and five (55.6%) patients exhibited heterogeneous cystic masses with air-fluid levels in intrapulmonary bronchogenic cystic masses. Open thoracotomy was performed in 17 (70.8%) patients, and video-assisted thoracic surgery was performed in 7 (29.2%) patients. On pathological findings, there were 16 (66.7%) complicated cysts, and in 13 symptomatic patients, 11 (84.6%) patients had complicated cysts. There was no operative death in this study. During the follow-up period, no recurrence was detected.


Conclusion

Intrathoracic bronchogenic cysts have a wide variety of clinical characteristics and radiologic findings. Even though some patients do not experience symptoms and signs caused by bronchogenic cysts, serious symptoms and complications may develop with the passage of time.

Keywords: Bronchogenic cyst, Mediastinum, Lung
Keimyung Author(s)(Kor)
황일선
박창권
금동윤
김재범
Publisher
School of Medicine
Citation
Deok Heon Lee et al. (2011). Clinical Characteristics and Management of Intrathoracic Bronchogenic Cysts: A Single Center Experience. Korean Journal of Thoracic and Cardiovascular Surgery, 44(4), 279–284. doi: 10.5090/kjtcs.2011.44.4.279
Type
Article
ISSN
2233-601X
DOI
10.5090/kjtcs.2011.44.4.279
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34626
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Pathology (병리학)
1. School of Medicine (의과대학) > Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
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