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Lu DN, Zhang WC, Zheng CM, Ge MH, Xu JJ. Case report: Successful treatment of a rare case of combined parathyroid adenoma, cervical bronchogenic cyst, and tracheal diverticulum with gasless endoscopic resection of neck masses via an axillary approach: A case report and literature review. Front Oncol 2022; 12:947422. [PMID: 36212471 PMCID: PMC9539983 DOI: 10.3389/fonc.2022.947422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Accepted: 08/29/2022] [Indexed: 11/13/2022] Open
Abstract
Parathyroid adenoma (PA), one of the most common causes of hyperparathyroidism, generally involves a single parathyroid gland and is manifested as hyperparathyroidism. Bronchogenic cysts are rare congenital cystic lesions caused by a development malformation in bronchi during the embryonic period, which mostly occur in the lung and mediastinum, with an extremely low morbidity rate in the neck. A 27-year-old young female was found to suffer from hyperparathyroidism on routine physical examination, and further examination suggested a cystic lesion in the right inferior parathyroid area combined with a tracheal diverticulum. Therefore, she was initially diagnosed with cystic hyperplasia of the parathyroid glands complicated by a tracheal diverticulum. Gasless endoscopic resection of neck masses via an axillary approach was performed because of the high requirements for the surgical cosmetic effect of the patient. During the surgery, we observed that the preoperatively diagnosed cystic lesion was a combination of two masses, which were successfully resected under endoscopy. Based on the postoperative pathology and clinical features, the patient was eventually diagnosed with a rare case of triple diseases including PA, cervical bronchial cyst, and tracheal diverticulum. Now, the patient recovered well as per the follow-up with no signs of recurrence and was extremely satisfied with the cosmetic effect of the surgery.
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Affiliation(s)
- Dong-Ning Lu
- Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, China
| | - Wan-Chen Zhang
- Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, China
| | - Chuan-Ming Zheng
- Otolaryngology & Head and Neck Center, Cancer Center, Department of Head and Neck Surgery, Zhejiang Provincial People’s Hospital (Afliated People’s Hospital, Hangzhou Medical College, Hangzhou, China
- Key Laboratory of Endocrine Gland Diseases of Zhejiang Province, Hangzhou, China
| | - Ming-Hua Ge
- Otolaryngology & Head and Neck Center, Cancer Center, Department of Head and Neck Surgery, Zhejiang Provincial People’s Hospital (Afliated People’s Hospital, Hangzhou Medical College, Hangzhou, China
- Key Laboratory of Endocrine Gland Diseases of Zhejiang Province, Hangzhou, China
| | - Jia-Jie Xu
- Otolaryngology & Head and Neck Center, Cancer Center, Department of Head and Neck Surgery, Zhejiang Provincial People’s Hospital (Afliated People’s Hospital, Hangzhou Medical College, Hangzhou, China
- Key Laboratory of Endocrine Gland Diseases of Zhejiang Province, Hangzhou, China
- *Correspondence: Jia-Jie Xu,
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Santos I, Barros J, Lopes T, Mesquita M, Barroso L, Amado I. Bronchogenic cyst of the neck in an elder patient: A case report. Int J Surg Case Rep 2019; 64:128-132. [PMID: 31648077 PMCID: PMC6818343 DOI: 10.1016/j.ijscr.2019.10.013] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2019] [Revised: 10/05/2019] [Accepted: 10/08/2019] [Indexed: 12/15/2022] Open
Abstract
INTRODUCTION Bronchogenic cysts are rare malformations, mostly diagnosed in children. We report the rare case of a neck bronchogenic cyst diagnosed in an elderly patient. PRESENTATION OF CASE The patient complained of a long-standing submental mass. The diagnostic work-up resulted in a thyroglossal duct cyst diagnosis for which the patient underwent a Sistrunk procedure. However, the histological analysis of the lesion ultimately revealed a bronchogenic cyst. DISCUSSION Neck bronchogenic cysts are rare and, in adults, normally asymptomatic. Imaging exams can suggest the diagnosis but they are most important for surgical planning. Surgery is the elected treatment for bronchogenic cysts and the histopathologic exam of the specimen provides definitive diagnosis. CONCLUSION This case demonstrates than even though they are a rare diagnosis, bronchogenic cysts should be considered in the diagnostic work-up of neck cysts, even in elderly patients.
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Affiliation(s)
- Inês Santos
- Maxillofacial Surgery Department, Hospital and University Centre of Coimbra, Praceta Prof. Mota Pinto, 3000-075, Coimbra, Portugal.
| | - João Barros
- Maxillofacial Surgery Department, Hospital and University Centre of Coimbra, Praceta Prof. Mota Pinto, 3000-075, Coimbra, Portugal.
| | - Teresa Lopes
- Maxillofacial Surgery Department, Hospital and University Centre of Coimbra, Praceta Prof. Mota Pinto, 3000-075, Coimbra, Portugal.
| | - Margarida Mesquita
- Maxillofacial Surgery Department, Hospital and University Centre of Coimbra, Praceta Prof. Mota Pinto, 3000-075, Coimbra, Portugal.
| | - Leonor Barroso
- Maxillofacial Surgery Department, Hospital and University Centre of Coimbra, Praceta Prof. Mota Pinto, 3000-075, Coimbra, Portugal.
| | - Isabel Amado
- Maxillofacial Surgery Department, Hospital and University Centre of Coimbra, Praceta Prof. Mota Pinto, 3000-075, Coimbra, Portugal.
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Cohn JE, Rethy K, Prasad R, Mae Pascasio J, Annunzio K, Zwillenberg S. Pediatric Bronchogenic Cysts: A Case Series of Six Patients Highlighting Diagnosis and Management. J INVEST SURG 2018; 33:568-573. [DOI: 10.1080/08941939.2018.1527419] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Affiliation(s)
- Jason E. Cohn
- Department of Otolaryngology-Head and Neck Surgery, Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USA
| | - Kimberly Rethy
- Department of Otolaryngology-Head and Neck Surgery, Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USA
| | - Rajeev Prasad
- Department of Pediatric General, Thoracic, and Minimally Invasive Surgery, Drexel University College of Medicine, St. Christopher’s Hospital for Children, Philadelphia, PA, USA
| | - Judy Mae Pascasio
- Department of Pathology and Laboratory Medicine, Drexel University College of Medicine, St. Christopher’s Hospital for Children, Philadelphia, PA, USA
| | - Katie Annunzio
- Department of Internal Medicine, Medical College of Wisconsin, Milwaukee, WI, USA
| | - Seth Zwillenberg
- Department of Otolaryngology-Head and Neck Surgery, Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USA
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Mattingly JK, Arganbright JM, Lovell MA, Chan KH. Cervical bronchogenic cysts: case report and review of the literature. Am J Otolaryngol 2014; 35:655-7. [PMID: 25085633 DOI: 10.1016/j.amjoto.2014.06.015] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2014] [Accepted: 06/30/2014] [Indexed: 11/30/2022]
Abstract
Pediatric cervical masses can present a diagnostic dilemma given their broad differential diagnosis. We present a 3-year-old girl with a midline anterior neck mass found to have histopathologic findings consistent with a bronchogenic cyst. Although rare, bronchogenic cysts should be considered in the differential diagnosis in both lateral and anterior pediatric cervical masses as their pathophysiology and embryogenesis differ considerably from more common cervical masses. Imaging is an important aspect in the pre-operative work-up, although diagnosis is only made after histopathologic analysis. Complete surgical excision is the definitive treatment.
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Affiliation(s)
- Jameson K Mattingly
- Department of Otolaryngology, University of Colorado School of Medicine, Aurora, CO, USA; Department of Pediatric Otolaryngology, Children's Hospital Colorado, Aurora, CO, USA.
| | - Jill M Arganbright
- Department of Otolaryngology, University of Colorado School of Medicine, Aurora, CO, USA; Department of Pediatric Otolaryngology, Children's Hospital Colorado, Aurora, CO, USA
| | - Mark A Lovell
- Department of Pathology, Children's Hospital Colorado, Aurora, CO, USA; Department of Pathology, University of Colorado School of Medicine, Aurora, CO, USA
| | - Kenny H Chan
- Department of Otolaryngology, University of Colorado School of Medicine, Aurora, CO, USA; Department of Pediatric Otolaryngology, Children's Hospital Colorado, Aurora, CO, USA
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Cilleruelo Ramos Á, Ovelar Arribas Y, García Yuste M. Cervical bronchogenic cyst in adults. Case report and literature review. Arch Bronconeumol 2014; 51:95-96. [PMID: 24629760 DOI: 10.1016/j.arbres.2014.01.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2013] [Revised: 01/14/2014] [Accepted: 01/15/2014] [Indexed: 10/25/2022]
Affiliation(s)
- Ángel Cilleruelo Ramos
- Servicio de Cirugía Torácica, Hospital Clínico Universitario de Valladolid, Valladolid, España.
| | - Yolanda Ovelar Arribas
- Servicio de Anatomía Patológica, Hospital Clínico Universitario de Valladolid, Valladolid, España
| | - Mariano García Yuste
- Servicio de Cirugía Torácica, Hospital Clínico Universitario de Valladolid, Valladolid, España
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