Bronchogenic cyst: an unusual cause of lump in the neck

1998 ◽  
Vol 112 (9) ◽  
pp. 893-894 ◽  
Author(s):  
F. Rapado ◽  
J. D. C. Bennett ◽  
J. M. Stringfellow
Keyword(s):  
Paediatric Patient ◽  
Adult Patient ◽  
Bronchogenic Cyst ◽  
Adult Population ◽  
Surgical Excision ◽  
Radiological Imaging ◽  
Benign Lesions ◽  
Complete Surgical Excision ◽  
Bronchogenic Cysts

AbstractBronchogenic cysts are rare congenital benign lesions that are usually detected in the paediatric patient with symptoms of infection or compression on vital structures. They are rarely diagnosed in the adult population. We present a case of bronchogenic cyst presenting as a lump in the neck in an adult patient. Radiological imaging helped to diagnose this lesion accurately before any form of intervention. Complete surgical excision is the treatment of choice.

scholarly journals Bronchogenic Cyst as a Rare Differential in an Adult Cervical Cystic Swelling

2015 ◽  
Vol 6 (4) ◽  
pp. 175-177
Author(s):  
Ajith J George ◽  
Pranay Gaikwad
Keyword(s):  
Bronchogenic Cyst ◽  
Preoperative Assessment ◽  
Surgical Excision ◽  
Neck Surgery ◽  
The Past ◽  
Neck Masses ◽  
Complete Surgical Excision ◽  
Rare Differential Diagnosis ◽  
Bronchogenic Cysts ◽  
Head Neck

ABSTRACT Introduction Bronchogenic cysts are rare congenital malformations of the ventral foregut development usually located in the mediastinum and intrapulmonary regions. Cervical bronchogenic cysts are unusual and have been reported predominantly in the pediatric age population, rarely in adults. Materials and methods We retrieved and analyzed medical records of all patients who were diagnosed to have bronchogenic cysts within the past 5 years who presented to the surgical departments of pediatric surgery, cardiothoracic, general surgery, ENT, and head and neck surgery. Data Thirty-three patients with bronchogenic cysts were identified, five of whom were children and only presented with a cyst in the neck. The details of the patient with cervical bronchogenic cyst are presented and discussed. Conclusion Bronchogenic cysts of the neck are rare differential diagnosis of neck masses in adults. The magnetic resonance imaging was found to be specific for diagnosis and preoperative assessment. Complete surgical excision is the treatment of choice, along with the prevention of future complications and establishment of diagnosis. How to cite this article George AJ, Gaikwad P. Bronchogenic Cyst as a Rare Differential in an Adult Cervical Cystic Swelling. Int J Head Neck Surg 2015;6(4):175-177.

scholarly journals Branchial Cysts in Quito, Ecuador

2020 ◽  
Vol 24 (03) ◽  
pp. e347-e350
Author(s):  
Luis Pacheco-Ojeda ◽  
Andrés Ayala-Ochoa ◽  
Karla Salvador
Keyword(s):  
General Hospital ◽  
Surgical Resection ◽  
Adult Population ◽  
Tertiary Care ◽  
Surgical Excision ◽  
Branchial Cleft Cyst ◽  
Complete Surgical Excision ◽  
Branchial Cleft ◽  
Lower Neck ◽  
Clinical Records

Introduction Branchial cleft anomalies are the second most common congenital anomaly in children. However, some lesions may not develop clinically and are not diagnosed until adulthood. The recent literature of branchial cysts (BCs) in the adult population is really scanty. For this reason, we analyzed the clinical and surgical management of the adult population treated for a BC at a tertiary care general hospital. Methods A retrospective review of the clinical records of all the patients with histological diagnosis of BC who were surgically treated at the Social Security Hospital in Quito, Ecuador, was performed. Fifty-one patients (27 women) with congenital anomalies of the 2nd (43 patients with cysts) and 3rd (6 patients with cysts and 2 with fistula) branchial arches were diagnosed and treated. Diagnosis was made on clinical grounds and by computed tomography scan. Results The 43 patients with a 2nd branchial cleft cyst underwent complete surgical excision through a wide mid-neck transverse cervicotomy. The 6 cases of 3rd branchial cleft cyst underwent surgical resection through a lower-neck transverse incision, and the 2 patients with clinical fistula in the lower aspect of the neck were operated on via an elliptical incision around this external fistula opening. Postoperative evolution was uneventful in all patients. Conclusions Branchial cysts can occasionally be diagnosed in adult patients in the setting of a general hospital population. A correct clinical and imaging assessment was diagnostic in most patients. Complete surgical resection was curative in all our patients, and postoperative complications were exceptional.

scholarly journals Upper Cervical Bronchogenic Cyst: A Rare Condition at a Rare Location

2018 ◽  
Vol 09 (01) ◽  
pp. 149-151
Author(s):  
Ranjeet Kumar Jha ◽  
Chandan B. Mohanty ◽  
Chandrashekhar E. Deopujari ◽  
Salman Tehran Shaikh
Keyword(s):  
Bronchogenic Cyst ◽  
Rare Condition ◽  
Surgical Excision ◽  
Cord Compression ◽  
Complete Relief ◽  
Resonance Imaging ◽  
Complete Surgical Excision ◽  
Upper Cervical ◽  
Rare Location ◽  
Intradural Extramedullary

ABSTRACTIntraspinal bronchogenic cyst (SBC) is a rare but important cause of spinal cord compression, commonly seen in the cervicothoracic spine. We report a case of a 43-year-old male, presenting with complaints of neck pain, radiating to right shoulder, with numbness of right hand and fingers. Magnetic resonance imaging of the cervical spine revealed an intradural extramedullary, ventral cystic lesion extending from C2 to C4 vertebral levels. Complete surgical excision was performed, and the patient had a complete relief of symptoms postoperatively. Only 11 cases of SBCs have been reported in literature. We discuss the peculiar location of this lesion, possible embryological reasons and the overall surgical outcome of SBC.

scholarly journals Surgical Experiences of Pediatric Cervical Bronchogenic Cysts: A Case Series of 6 Patients

2021 ◽  
pp. 014556132098219
Author(s):  
Yanzhen Li ◽  
Shengcai Wang ◽  
Jun Tai ◽  
Jie Zhang ◽  
Lejian He ◽  
...  
Keyword(s):  
Pediatric Patients ◽  
Bronchogenic Cyst ◽  
Case Series ◽  
Side Wall ◽  
Neck Region ◽  
Surgical Excision ◽  
Complete Resection ◽  
Congenital Disease ◽  
Surgical Experience ◽  
Bronchogenic Cysts

Objectives: Bronchogenic cyst is a rare congenital disease which occurs especially in the neck region. This report presents 6 cases of bronchogenic cysts and discusses the diagnosis and surgical experience of this anomaly. Methods: A retrospective study of 6 pediatric patients with cervical bronchogenic cysts treated in our hospital during 2016 to 2019 was performed. We recorded and analyzed the clinical data of the patients, including age, symptoms, imaging findings, surgical procedure, and complications. Results: All patients underwent surgical excision. The chondroid tissues were found at the base of cysts which clung to the trachea in 5 patients and completely removed by surgery without recurrence. One patient showed recurrence due to residual cartilage after the first surgery, and the second surgery was required to resect the remaining cartilage. During the surgery, the recurrent laryngeal nerve (RLN) detector was used, which confirmed that all the RLNs clung to the side wall of cysts. All cases were cured without complications. Conclusions: Although rare, bronchogenic cysts should be considered in the differential diagnosis of peritracheal masses in children. Complete resection of the bronchogenic cysts, including the cartilages at the base, is vital in preventing recurrence. The RLN must be protected during the surgery.

scholarly journals Hepatoblastoma in a 14-months old child

2021 ◽  
Vol 5 (1) ◽  
pp. 80-82
Author(s):  
Rashes Shrestha ◽  
Niraj Bhattarai ◽  
Binay Thakur ◽  
Mukti Devkota ◽  
Rajesh Kumar Mandel ◽  
...  
Keyword(s):  
Neoadjuvant Chemotherapy ◽  
Locally Advanced ◽  
Surgical Excision ◽  
Abdominal Distension ◽  
High Serum ◽  
Loose Stool ◽  
Radiological Imaging ◽  
Complete Surgical Excision ◽  
Serum Alpha Fetoprotein ◽  
Left Hemi

In children, commonest liver tumor is hepatoblastoma. We present a 14-month-old male child who presented with abdominal distension and loose stool. Radiological imaging revealed solid hepatic mass. Hematological investigations revealed anemia, thrombocytosis and high Serum alpha fetoprotein (AFP) level. Ultrasound (USG) guided FNAC confirmed the mass to be hepatoblastoma. CT scan revealed hepatoblastoma PRETEXT stage III. The patient underwent 6 cycles of neoadjuvant chemotherapy and responded to POSTTEXT stage II. Left hemi-hepatectomy was done with clear resectin margins. Complete surgical excision of the mass after preoperative chemotherapy remains the mainstay of the treatment of locally advanced hepatoblastoma. 

scholarly journals A Rare Differential Diagnosis of a Nasal Tumor: Case Report and Literature Review

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
S. Burkart ◽  
U. Schoenenberger
Keyword(s):  
Case Report ◽  
Surgical Excision ◽  
Radiological Imaging ◽  
Open Procedure ◽  
Complete Surgical Excision ◽  
Rare Differential Diagnosis ◽  
Recurrent Epistaxis ◽  
Nasal Tumor

Vascular leiomyomas or angioleiomyomas are rare tumors that can be found in the nasal cavity. The etiology of angioleiomyoma remains poorly understood and there are several hypotheses to explain the origin of sinonasal leiomyoma. We here describe the clinical and histological findings in a case study along with the feasibility of surgical treatment using a radiofrequency instrument. In particular, we describe the case of an adult patient with recurrent epistaxis because of a nasal angioleiomyoma and the performed treatment in the form of complete surgical excision. Radiological imaging is a helpful tool to give an indication of the extension of the tumor, as well as for the proper planning of the surgical approach. Either MRI or CT scans are found to be best suited for this purpose. This case report recommends the complete surgical excision of the angioleiomyoma, by either an endoscopic or an open procedure. This can be safely performed using a radiofrequency instrument as shown in this case with no recurrence during a follow-up of 12 months.

Recurrent neck abscess due to a bronchogenic cyst in an adult

2010 ◽  
Vol 124 (12) ◽  
pp. 1325-1328 ◽  
Author(s):  
A J C Hazenberg ◽  
L M Pullmann ◽  
R-P Henke ◽  
F Hoppe
Keyword(s):  
Case Report ◽  
Bronchogenic Cyst ◽  
Radiological Imaging ◽  
Neck Abscess ◽  
Aged Woman ◽  
Middle Aged Woman ◽  
Deep Neck Abscess ◽  
The Right ◽  
Cervical Cysts ◽  
Bronchogenic Cysts

AbstractBackground:Neck abscesses can originate from congenital cervical cysts. Cervical cysts of bronchogenic origin are rare and often asymptomatic. Common symptoms of bronchogenic cysts are stridor, dyspnoea and dysphagia. The reported patient represents the second published case of a bronchogenic cyst causing a neck abscess in an adult.Case report:We report a case of a cervical bronchogenic cyst presenting as a recurrent supraclavicular abscess in a middle-aged woman. During extirpation, a fistula was demonstrated to the right upper lobe of the lung, suspected because the cyst inflated synchronously with respiration.Discussion:The symptoms of bronchogenic cysts are due to the effects of compression or fistulas. In the majority of these cysts, a thorough investigation involving history, examination and radiological imaging does not clearly demonstrate a fistula. Therefore, extirpation is both diagnostic and therapeutic.Conclusion:A bronchogenic cyst is a very rare cause of a recurrent deep neck abscess. Total extirpation is the treatment of choice.

Vagal Nerve Schwannoma: Presentation of Two Case Reports

2016 ◽  
Vol 8 (3) ◽  
pp. 116-118
Author(s):  
Atishkumar B Gujrathi ◽  
Vijayalaxmi Ambulgekar ◽  
Shrinivas Chavan
Keyword(s):  
Case Reports ◽  
Surgical Excision ◽  
Neck Mass ◽  
Vagal Nerve ◽  
Lateral Neck ◽  
Benign Lesions ◽  
Complete Surgical Excision ◽  
Lateral Neck Swelling ◽  
Slow Growing ◽  
Nose And Throat

ABSTRACT Vagal nerve schwannomas are rare neural sheath tumors. Although schwannomas are generally benign lesions, they are known to enlarge at a rate of 2.5 to 3 mm per year according to published reports. Vagal nerve schwannoma usually occurs between the 3rd and 5th decades of life, it does not show sex predilection, with both sexes being equally affected, and it most often presents as a painless, slow-growing, lateral neck mass. The treatment of choice is complete surgical excision with preservation of the neural pathway, when it is possible. These tumors, in fact, are almost always benign, and a conservative surgical approach is emphasized by most of the authors. Here, we are presenting two cases of cervical vagal schwannoma, both were middle aged females and presenting in the ear, nose, and throat (ENT) department as a painless lateral neck swelling and were operated by horizontal skin crease incision. Of the two cases, we succeeded to secure nerve functions in one case. The clinical features, diagnosis, management, and pathological findings of cervical vagal schwannoma are discussed. How to cite this article Gujrathi AB, Ambulgekar V, Chavan S. Vagal Nerve Schwannoma: Presentation of Two Case Reports. Int J Otorhinolaryngol Clin 2016;8(3):116-118.

scholarly journals Scapular Bronchogenic Cyst in a Girl Presenting as Recurrent Cellulitis: A Case Report and Review of the Literature

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Zuhaib M. Mir ◽  
Ami Wang ◽  
Andrea Winthrop ◽  
Mila Kolar
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Bronchogenic Cyst ◽  
Surgical Excision ◽  
Respiratory Epithelium ◽  
Review Of The Literature ◽  
Male Patients ◽  
Bronchogenic Cysts ◽  
Scapular Region ◽  
Congenital Cysts

Bronchogenic cysts are rare, congenital cysts originating from respiratory epithelium and typically found within the chest. Cutaneous bronchogenic cysts are exceedingly uncommon, with only 19 reported cases in the scapular region and almost exclusively occurring in male patients. Herein, we present the case of a female patient with recurrent cellulitis secondary to a bronchogenic cyst, which was diagnosed after surgical excision. We also provide a review of the literature to consolidate the current understanding of cutaneous scapular bronchogenic cysts. To our knowledge, this is the first such case reported from Canada.

Bronchogenic cysts as a cause of infantile stridor: case report and literature review

2011 ◽  
Vol 125 (10) ◽  
pp. 1094-1097 ◽  
Author(s):  
J Goswamy ◽  
S de Kruijf ◽  
G Humphrey ◽  
M P Rothera ◽  
I A Bruce
Keyword(s):  
Case Report ◽  
Bronchogenic Cyst ◽  
Upper Airway ◽  
Surgical Excision ◽  
Mass Effect ◽  
Inspiratory Stridor ◽  
External Compression ◽  
History Of ◽  
Neck Lump ◽  
Bronchogenic Cysts

AbstractIntroduction:Cystic lesions related to the upper airway are an unusual cause of infantile stridor. Such a lesion may exert a mass effect, with subsequent airway compromise.Case report:A six-month-old boy was transferred to our unit with a right-sided, level IV neck lump and a three-month history of chronic cough and, latterly, inspiratory stridor. Computed tomography revealed a large, unilocular, cystic, cervicothoracic lesion causing marked compression of the trachea. Airway endoscopy subsequently revealed the larynx to be displaced to the left, with severe external compression of the trachea from just below the subglottic level to immediately above the carina. The mediastinal lesion was excised via an external approach. The histological diagnosis was a bronchogenic cyst.Conclusion:Bronchogenic cysts are a rare cause of infantile stridor, and should be considered in the differential diagnosis of cystic cervical and mediastinal masses. Surgical excision is the treatment of choice.

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