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Sharma S, Dadwal M, Chandran VA. An unusual cyst at an unusual site in an adult. Cytopathology 2024. [PMID: 39275878 DOI: 10.1111/cyt.13443] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2024] [Revised: 08/17/2024] [Accepted: 09/03/2024] [Indexed: 09/16/2024]
Abstract
Bronchogenic cysts are usually seen in the intrathoracic region in children. The authors describe the cytologic features of a case of a bronchogenic cyst in the cervical region in an adult and discuss its differential diagnoses.
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Affiliation(s)
- Sudha Sharma
- Department of Pathology, Dr. YSPGMC, Nahan, Himachal Pradesh, India
| | - Madhuri Dadwal
- Department of ENT, Dr. YSPGMC, Nahan, Himachal Pradesh, India
| | - V Anish Chandran
- Department of Pathology, Dr. YSPGMC, Nahan, Himachal Pradesh, India
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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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Whooley J, White A, Soo A. Bronchogenic cyst: a rare case of malignant transformation. BMJ Case Rep 2022; 15:e248916. [PMID: 35379683 PMCID: PMC8981341 DOI: 10.1136/bcr-2022-248916] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/23/2022] [Indexed: 11/04/2022] Open
Abstract
Bronchogenic cysts are rare cystic malformations of the respiratory tract with prevalence that is largely unknown. They are most commonly diagnosed incidentally in asymptomatic patients. While surgical resection is the mainstay of treatment for patients who are symptomatic, the treatment course for patients without symptoms is less clear. We describe the case of an initially asymptomatic elderly man who was found to have a bronchogenic cyst on routine surveillance imaging, culminating in the rapid enlargement and malignant transformation of the cyst, ultimately resulting in a technically difficult and challenging surgical resection. The malignant transformation of these bronchogenic cysts is exceedingly rare, with only a few well-documented cases reported in the literature. To our knowledge, this is the first report of a squamous cell carcinoma arising from a bronchogenic cyst in the paratracheal region.
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Affiliation(s)
- Jack Whooley
- Cardiothoracic Surgery, University Hospital Galway, Galway, Ireland
| | - Alexandra White
- Cardiothoracic Surgery, University Hospital Galway, Galway, Ireland
| | - Alan Soo
- Cardiothoracic Surgery, University Hospital Galway, Galway, Ireland
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Zarogoulidis P, Tsakiridis K, Vagionas A, Hohenforst-Schmidt W, Zaric B, Tryfon S, Saroglou M, Drevelegas K, Hatzibougias D, Michalopoulou-Manoloutsiou E, Paliouras D, Barbetakis N, Huang H, Bai C. Bronchogenic cyst or lung cancer. Only biopsy can tell. Respir Med Case Rep 2020; 32:101328. [PMID: 33457198 PMCID: PMC7797910 DOI: 10.1016/j.rmcr.2020.101328] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2020] [Accepted: 12/27/2020] [Indexed: 11/29/2022] Open
Abstract
Bronchogenic cysts are rare congenital malformations which derive from primitive ventral foregut. They are usually observed in intrathoracically. A fifty year old male was admitted for the investigation of a three month chest pain. Computed tomography scan of the thorax revealed a lesion around the esophagus and left stem bronchus. Endobronchial ultrasound with convex probe and a 19G needle biopsy revealed a bronchogenic cystic which was removed with video assisted thoracic surgery. Initial radiologic assessment although was thought to be lung cancer because of the smoking habit it turned out to be benignancy. EBUS-TBNAB with 10G needle is safe and absolutely necessary for these lesions, as they take large samples.
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Affiliation(s)
- Paul Zarogoulidis
- 3rd University General Hospital, ''AHEPA'' University Hospital, Thessaloniki, Greece
| | - Kosmas Tsakiridis
- Thoracic Surgery Department, ''Interbalkan'' European Medical Center, Thessaloniki, Greece
| | | | - Wolfgang Hohenforst-Schmidt
- Sana Clinic Group Franken, Department of Cardiology / Pulmonology / Intensive Care / Nephrology, "Hof" Clinics, University of Erlangen, Hof, Germany
| | - Bojan Zaric
- Institute for Pulmonary Diseases of Vojvodina, Faculty of Medicine, University of Novi Sad, Serbia
| | - Stavros Tryfon
- Pulmonary Department (NHS), ''G. Papanikolaou'' General Hospital, Thessaloniki, Greece
| | - Maria Saroglou
- Pulmonary Department (NHS), ''G. Papanikolaou'' General Hospital, Thessaloniki, Greece
| | | | | | | | - Dimitris Paliouras
- Thoracic Surgery Department, ''Theageneio'' Cancer Hospital, Thessaloniki, Greece
| | - Nikolaos Barbetakis
- Thoracic Surgery Department, ''Theageneio'' Cancer Hospital, Thessaloniki, Greece
| | - Haidong Huang
- Department of Respiratory Medicine, Changhai Hospital of Second Military Medical University, Shanghai, China
| | - Chong Bai
- Department of Respiratory Medicine, Changhai Hospital of Second Military Medical University, Shanghai, China
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Byard RW. Airway compromise and thyroglossal duct cysts in adulthood. Forensic Sci Med Pathol 2020; 17:139-140. [PMID: 32623656 DOI: 10.1007/s12024-020-00280-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/18/2020] [Indexed: 11/26/2022]
Abstract
A 61-year-old man died suddenly after a brief history of shortness of breath and hemoptysis. At autopsy he had lobar pneumonia involving the right upper and left lower lobes of the lung. Significantly there was also a 30 × 20 mm (in cross-section) thyroglossal duct cyst compressing the upper airway. Death was attributed to respiratory failure due to the combined effects of lobar pneumonia (cultures positive for Streptococcus pneumoniae) and airway narrowing from a thyroglossal duct cyst. Although such cysts are usually found in childhood they may on occasion be diagnosed in adults. Despite being the most common congenital cyst in the neck cases associated with a lethal outcome are extremely rare.
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Affiliation(s)
- Roger W Byard
- Forensic Science SA and School of Medicine, The University of Adelaide, Level 2 Helen Mayo Building North, Frome Road, Adelaide, South Australia, 5005, Australia.
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