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Percutaneous aspiration and absolute ethanol sclerotherapy in the treatment of symptomatic bronchogenic cyst. Radiol Case Rep 2023; 18:1844-1847. [PMID: 36923392 PMCID: PMC10008829 DOI: 10.1016/j.radcr.2023.02.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2023] [Revised: 02/02/2023] [Accepted: 02/03/2023] [Indexed: 03/07/2023] Open
Abstract
Surgical treatment is indicated for both symptomatic and asymptomatic bronchogenic cysts. The goal of treatment is total removal of the cyst. Percutaneous aspiration and absolute ethanol sclerotherapy is an effective, minimally invasive, and safe alternative method. We present the case of a 74-year-old woman with a symptom of persistent dry cough for 5 months. Plain and contrast-enhanced chest computed tomography revealed a large superior mediastinal cyst that could be easily accessed percutaneously. The cyst was treated by aspiration and ethanol sclerotherapy under ultrasound guidance and fluoroscopy. The patient was discharged a day later without complications. Chest CT at 6 months follow-up showed complete regression of the cyst.
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Transesophageal endoscopic resection of mediastinal cysts (with video). Gastrointest Endosc 2022; 95:642-649.e2. [PMID: 34875257 DOI: 10.1016/j.gie.2021.11.031] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/16/2021] [Accepted: 11/13/2021] [Indexed: 12/11/2022]
Abstract
BACKGROUND AND AIMS Primary mediastinal cysts are infrequent lesions derived from a variety of mediastinal organs or structures. Complete surgical resection is the treatment of choice even in asymptomatic patients to prevent severe adverse events (AEs) and to establish the diagnosis. Transesophageal endoscopic resection of benign mediastinal tumors has been proven feasible. The aim of this study was to evaluate the feasibility, safety, and efficacy of transesophageal endoscopic surgery for mediastinal cysts. METHODS From January 2016 to May 2021, patients with mediastinal cysts who underwent transesophageal endoscopic resection were retrospectively included. Clinicopathologic characteristics, procedure-related parameters, AEs, and follow-up outcomes were analyzed. RESULTS Ten patients with mediastinal cysts were included in this study. The mean cyst size was 3.3 ± 1.3 cm. Histopathology revealed 3 bronchogenic cysts (30.0%), 4 esophageal duplication cysts (40.0%), 2 gastroenteric cysts (20.0%), and 1 lymphatic cyst (10.0%). All procedures were performed uneventfully without conversion to traditional surgery. En-bloc resection was achieved in 6 patients (60.0%). Aggressive resection was avoided to prevent damage to the surrounding vital organs. Mean resection time and suture time were 58.0 ± 36.4 minutes and 5.4 ± 1.0 minutes, respectively. No major pneumothorax, bleeding, mucosal injury, or fistula occurred. One patient had a transient febrile episode (>38.5°C). Mean postoperative hospital stay was 2.7 ± .9 days. No residual or recurrent lesions were observed in any patient during a mean follow-up period of 29.8 ± 19.5 months. CONCLUSIONS Transesophageal endoscopic surgery appears to be a feasible, safe, effective, and much less invasive approach for mediastinal cyst resection. Larger prospective studies are required to fully assess the efficacy and safety of this novel technique.
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Claeys PN, Mazy V. Douleur thoracique atypique révélatrice d’un kyste pleuropéricardique. ANNALES FRANCAISES DE MEDECINE D URGENCE 2019. [DOI: 10.3166/afmu-2019-0183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Jiang N, Lu Y, Wang J. Is single-port video-assisted thoracic surgery for mediastinal cystectomy feasible? J Cardiothorac Surg 2019; 14:18. [PMID: 30670039 PMCID: PMC6343290 DOI: 10.1186/s13019-019-0843-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2018] [Accepted: 01/14/2019] [Indexed: 11/26/2022] Open
Abstract
Background Video-assisted thoracic surgery (VATS) for mediastinal cysts has been used with increasing frequency. Both single-port VATS and three-port VATS procedures are used for mediastinal cystectomy. Few studies have been published to compare three-port VATS and single-port VATS procedures in mediastinal cystectomy. Methods Forty-five patients with mediastinal cysts who underwent single-port procedures (n = 23) or three-port procedures (n = 22) in our department from January 2016 to July 2018 were retrospectively analysed. The perioperative conditions and pathological findings were analysed. Results The single-port group showed shorter operation times [45 (35–60) vs 55 (45–80) min, p = 0.013], less retention time of the thoracic drainage tube [27(24–48) vs 48(48–70) p < 0.001)], shorter postoperative hospital stays [5(4–6) vs 7(5–7), p = 0.011] and less costs [2.0)1.2–2.5) vs 2.5(1.9–3.5), p = 0.032] than those of the three-port group. No difference was found in case conversions to open procedures (p > 0.99) or second operations (p > 0.99). Logistic regression analysis showed that the surgical method (p = 0.426) and surgeon experience (p = 0.719) were not independent prognostic factors for the success of surgery. Conclusions The single-port VATS procedure was not inferior to the three-port VATS procedure for mediastinal cystectomy. The single-port VATS procedure is a feasible choice for mediastinal cystectomy.
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Affiliation(s)
- Nanqing Jiang
- Department of Cardiothoracic Surgery, The First People's Hospital of Changzhou, The Third Affiliated Hospital of Soochow University, 185 Juqian Road, Changzhou, 213003, Jiangsu, China
| | - Yiming Lu
- Department of Cardiothoracic Surgery, The First People's Hospital of Changzhou, The Third Affiliated Hospital of Soochow University, 185 Juqian Road, Changzhou, 213003, Jiangsu, China
| | - Jun Wang
- Department of Cardiothoracic Surgery, The First People's Hospital of Changzhou, The Third Affiliated Hospital of Soochow University, 185 Juqian Road, Changzhou, 213003, Jiangsu, China.
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Matsuoka K, Ueda M, Miyamoto Y. Mediastinal parathyroid cyst resected via a cervical incision using video-mediastinoscopy. Indian J Thorac Cardiovasc Surg 2017; 34:388-390. [PMID: 33060898 DOI: 10.1007/s12055-017-0588-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2017] [Revised: 08/10/2017] [Accepted: 08/14/2017] [Indexed: 11/29/2022] Open
Abstract
Parathyroid cysts are rare, benign, cystic lesions usually located in the neck region, and those located in the mediastinum are extremely unusual. Traditionally, thoracotomy or sternotomy has been used to resect mediastinal parathyroid cysts, and recently, video-assisted thoracoscopic surgery has also been employed. Here, we describe a case of non-functional mediastinal parathyroid cyst that was successfully resected via a cervical incision using video-mediastinoscopy.
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Affiliation(s)
- Katsunari Matsuoka
- Department of Thoracic Surgery, National Hospital Organization Himeji Medical Center, Honmachi 68, Himeji City, Hyogo 670-8520 Japan
| | - Mitsuhiro Ueda
- Department of Thoracic Surgery, National Hospital Organization Himeji Medical Center, Honmachi 68, Himeji City, Hyogo 670-8520 Japan
| | - Yoshihiro Miyamoto
- Department of Thoracic Surgery, National Hospital Organization Himeji Medical Center, Honmachi 68, Himeji City, Hyogo 670-8520 Japan
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Bacha S, Chaouch N, Mlika M, Racil H, Cheikhrouhou S, Chabbou A. [Unusual location of an intrathoracic mesothelial cyst in the posterior and upper mediastinum]. Rev Mal Respir 2015; 33:626-9. [PMID: 26596228 DOI: 10.1016/j.rmr.2015.10.740] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2014] [Accepted: 09/06/2015] [Indexed: 10/22/2022]
Abstract
BACKGROUND Intrathoracic mesothelial cysts are congenital lesions due to an abnormal development of the pericardial coelom. They are usually asymptomatic and found incidentally on chest radiography or computed tomography. As their classic anatomical location is in the cardiophrenic angle, they are also referred to pleuropericardial cysts. CASE REPORT A 50-year-old male presented with a history of chest pain. Physical examination and chest X-ray were normal. Computed tomography (CT) scan revealed a cystic lesion in the posterior and upper mediastinum. The cyst was surgically removed through a posterolateral thoracotomy. Histopathological examination confirmed that it was a mesothelial cyst. The surgical resection of the cyst lead to relief of the thoracic pain over a three-year follow-up period. CT-scan showed an aberrant right subclavian artery or arteria lusoria, which is an anomaly of the aortic arch secondary to abnormal embryogenesis. We know no other report of concurrent ectopic coelomic cyst and aberrant right subclavian artery. CONCLUSION Although the majority of coelomic cysts needs only radiological and clinical follow-up, surgical resection should be performed when the patient is symptomatic or when the diagnosis is uncertain.
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Affiliation(s)
- S Bacha
- Service de pneumologie, pavillon 2, hôpital de pneumo-phtisiologie Abderrahmane Mami, 2080 Ariana, Tunisie.
| | - N Chaouch
- Service de pneumologie, pavillon 2, hôpital de pneumo-phtisiologie Abderrahmane Mami, 2080 Ariana, Tunisie
| | - M Mlika
- Service d'anatomopathologie, hôpital de pneumo-phtisiologie Abderrahmane Mami, 2080 Ariana, Tunisie
| | - H Racil
- Service de pneumologie, pavillon 2, hôpital de pneumo-phtisiologie Abderrahmane Mami, 2080 Ariana, Tunisie
| | - S Cheikhrouhou
- Service de pneumologie, pavillon 2, hôpital de pneumo-phtisiologie Abderrahmane Mami, 2080 Ariana, Tunisie
| | - A Chabbou
- Service de pneumologie, pavillon 2, hôpital de pneumo-phtisiologie Abderrahmane Mami, 2080 Ariana, Tunisie
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Fenane H, Bouchikh M, Maidi EM, Lamboni D, Achir A, Ouchen F, Oyali M, Caidi M, Aziz SA, Benosman A. [A rare cause of mediastinal cyst]. Pan Afr Med J 2015; 19:24. [PMID: 25667686 PMCID: PMC4314144 DOI: 10.11604/pamj.2014.19.24.3126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2013] [Accepted: 05/01/2014] [Indexed: 11/11/2022] Open
Affiliation(s)
- Hicham Fenane
- Service de chirurgie thoracique hôpital Ibn Sina, Rabat, Maroc
| | | | - El mehdi Maidi
- Service de chirurgie thoracique hôpital Ibn Sina, Rabat, Maroc
| | - Damsane Lamboni
- Service de chirurgie thoracique hôpital Ibn Sina, Rabat, Maroc
| | - Abdellah Achir
- Service de chirurgie thoracique hôpital Ibn Sina, Rabat, Maroc
| | - Fahd Ouchen
- Service de chirurgie thoracique hôpital Ibn Sina, Rabat, Maroc
| | - Mbola Oyali
- Service de chirurgie thoracique hôpital Ibn Sina, Rabat, Maroc
| | - Mohamed Caidi
- Service de chirurgie thoracique hôpital Ibn Sina, Rabat, Maroc
| | - Said Al Aziz
- Service de chirurgie thoracique hôpital Ibn Sina, Rabat, Maroc
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Li X, Wang X, Duan X, Xu H. A case of giant mediastinal cyst initially detected and diagnosed by echocardiography. Echocardiography 2015; 32:1193-5. [PMID: 25640147 DOI: 10.1111/echo.12884] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
Mediastinal cysts are a group of benign mediastinal lesions, and their diagnoses are primarily depended on x-ray and computed tomography. The development of ultrasound instruments and inspection techniques in recent years has led to the ability to use transthoracic echocardiography to clearly display structures surrounding the heart according to the dark fluid space (blood) of the atrium, ventricles, and large vessels as an acoustic window. This technique offers improved detection rates of mediastinal lesions. We report a case of a mediastinal cyst that was first detected and diagnosed on thoracic echocardiography examination and then confirmed by thoracoscopic surgery and pathological analysis.
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Affiliation(s)
- XiaoDong Li
- Department of Echocardiography, Cardiovascular Disease Center, The First Hospital of Jilin University, Changchun, China
| | - XiaoCong Wang
- Department of Echocardiography, Cardiovascular Disease Center, The First Hospital of Jilin University, Changchun, China
| | - XiuMei Duan
- Department of Pathology, The First Hospital of Jilin University, Changchun, China
| | - Hui Xu
- Department of Echocardiography, Cardiovascular Disease Center, The First Hospital of Jilin University, Changchun, China
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Peña E, Blanco M, Otero T. Left main bronchus rupture during video-assisted thoracoscopic surgery resection of a bronchogenic cyst. REVISTA PORTUGUESA DE PNEUMOLOGIA 2013; 19:284-6. [DOI: 10.1016/j.rppneu.2013.05.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2013] [Revised: 04/25/2013] [Accepted: 05/27/2013] [Indexed: 10/26/2022] Open
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Legras A, Mordant P, Le Pimpec-Barthes F, Riquet M. [Lymphangioma and lymphangiectasia]. REVUE DE PNEUMOLOGIE CLINIQUE 2013; 69:272-277. [PMID: 23688723 DOI: 10.1016/j.pneumo.2013.04.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/15/2013] [Revised: 04/01/2013] [Accepted: 04/04/2013] [Indexed: 06/02/2023]
Abstract
Primary thoracic lymphatic diseases are both infrequent and probably under diagnosed. The two major forms are lymphangiomas and lymphangiectasias. Lymphangiomas are focal proliferation of well-differentiated lymphatic vessels. Childhood lymphangiomas may follow embryologic disorders. Adult lymphangiomas are more likely secondary to lymphatic obstruction. When associated with typical CT and MRI features, their surgical resection is not mandatory, whereas in case of diagnostic difficulties or related complications, surgical resection is the rule. Lymphangiectasias are congenital or acquired pathologic lymphatic dilatation from pleura and interlobular septa without any proliferation. These diseases can be limited to one pulmonary lobe, or can involve the whole lymphatic network. In case of communication between the lymphangiectasias and the thoracic duct, symptoms may include chyloptysis, chylothorax, and chylopericardium. Lymphangio MRI allows visualisation of the lymphangiectasis and thoracic duct. Surgical treatment may be required in case of resistance to medical treatment.
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Affiliation(s)
- A Legras
- Service de chirurgie thoracique, université Paris 5, hôpital européen Georges-Pompidou, Assistance publique-Hôpitaux de Paris, 20, rue Leblanc, 75015 Paris, France
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Dell'Amore A, Asadi N, Bartalena T, Bini A, Stella F. Thoracoscopic resection of a giant mediastinal parathyroid cyst. Gen Thorac Cardiovasc Surg 2013; 62:444-50. [PMID: 23625377 DOI: 10.1007/s11748-013-0256-y] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2013] [Accepted: 04/17/2013] [Indexed: 11/26/2022]
Abstract
Parathyroid cysts are a rare situation, unusually in the mediastinum. The preoperative diagnosis could be more difficult in some atypical topographies and imaging characteristics in particular in case of huge mediastinal cyst. In the following years traditionally, in case of intrathoracic parathyroid cysts, sternotomy or thoracotomy have been the preferred approaches. We report a case of an older patient with a huge mediastinal parathyroid cyst removed successfully using videothoracoscopy.
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Affiliation(s)
- Andrea Dell'Amore
- Thoracic Surgery Unit, S.Orsola Malpighi Hospital, University of Bologna, Via Massarenti 9, Bologna, Italy,
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12
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Traibi A, El Hammoumi M, El Oueriachi F, Arsalane A, Kabiri EH. [Benign cysts of the mediastinum: series of 28 cases]. Rev Mal Respir 2012. [PMID: 23200583 DOI: 10.1016/j.rmr.2011.09.053] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
INTRODUCTION Benign cystic mediastinal mass form a group of heterogeneous and uncommon lesions. Surgical resection is the gold standard in these conditions. We reported our institutional experience in management of these benign tumours. In this review, cardiac and ganglionary benign mass were excluded. METHODS We retrospectively reviewed the records of 28 patients with benign cysts of the mediastinum, who are operated in our department between January 2003 and December 2009 (7years period). RESULTS There were 13 females (46.4%) and 15 males (53.5%), with a mean age of 36.8years (range: 13-63years). Most lesions (n=22) were equally in the anterior and middle mediastinum, only six were in the posterior mediastinum. Seventeen patients (60.7%) were symptomatic, with chest pain and cough as the most common symptoms. The diagnosis of mediastinal cyst was fortuitous in 11 patients with the waning of an assessment made for another reason. Surgery was indicated in all patients in order to both diagnostic and therapeutic. Posterolateral thoracotomy incision is the most common. Complete resection of the cyst was possible only in 18 cases (64.3%), whereas in ten (35. 7%) other cases part of the cyst was left in place due to tight adhesions to vital structures. After histological study, there were: nine bronchogenic cysts (32.1%), seven hydatid cysts (25%), four cystic lymphangiomas (14.3%), three mature cystic teratomas (10.7%) and three pleuropericardial cysts, one thymic cyst and one parathyroid cyst. The postoperative course was uneventful and no recurrence has been observed until now. CONCLUSION The benign cysts of the mediastinum is a rare entity, the hydatid etiology remains common in our context. Surgical treatment remains the treatment of choice for mediastinal cysts, when the patient is operable, to save the risk of complications or degeneration.
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Affiliation(s)
- A Traibi
- Service de chirurgie thoracique, faculté de médecine et de pharmacie de Rabat, université Mohamed V Souissi, hôpital militaire d'instruction Mohamed V, Hay Riad, Rabat, Morocco
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Fievet L, D'Journo XB, Guys JM, Thomas PA, De Lagausie P. Bronchogenic cyst: best time for surgery? Ann Thorac Surg 2012; 94:1695-9. [PMID: 22884598 DOI: 10.1016/j.athoracsur.2012.06.042] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/03/2012] [Revised: 06/18/2012] [Accepted: 06/20/2012] [Indexed: 01/20/2023]
Abstract
BACKGROUND Bronchogenic cyst (BC) is a benign congenital mediastinal tumor whose natural course remains unclear. In adults, most BCs are removed by thoracotomy after complications. Currently, prenatal diagnosis is generally feasible and allows an early thoracoscopic intervention. The purpose of this retrospective study was to ascertain the best time for the operation. METHODS Reviewed were 36 patients (11 children, 25 adults) with a BC managed from 2000 to 2011. Clinical history, cyst size, duration of hospitalization, preoperative and postoperative complications, and detection of inflammatory elements were compared (Student t tests) between pediatric and adult patients. RESULTS In the pediatric group, diagnosis was made prenatally in 7 patients, during the neonatal period in 2, and later in 2. Nine were asymptomatic. In the adult group, 20 patients were treated for complications. Thoracotomy was performed in 2 children and thoracoscopy in 9 (no conversion). A thoracoscopic operation was performed in 9 adults (2 conversions), and 17 adults required additional procedures (4 pericardial and 9 lung resections, 3 bronchial, and 1 esophageal sutures). The average length of hospitalization was 4.45 days for children (3.33 days in the thoracoscopic subgroup) and 8 days for adults. Mean maximal cyst diameter was 2.2 cm in children and 6.5 cm in adults (p < 0.10). Pathologic study revealed inflammatory reaction in 2 children (18%) vs 21 adults (84%; p < 0.001). CONCLUSIONS Early surgical resection of BCs provides better conservation of pulmonary parenchyma, a lower incidence of inflammatory lesions, and a reduced rate of complications, and should be proposed after prenatal diagnosis, between the 6th and 12th month of life.
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Affiliation(s)
- Lucile Fievet
- Department of Pediatric Surgery, Hôpital Timone Enfant, Aix-Marseille University and Assistance Publique-Hôpitaux de Marseille, Marseille, France
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Mordant P, De Dominicis F, Berna P, Riquet M. [Tracheobronchial and pulmonary parenchymatous congenital abnormalities requiring surgical treatment in adults]. REVUE DE PNEUMOLOGIE CLINIQUE 2012; 68:110-116. [PMID: 22361066 DOI: 10.1016/j.pneumo.2012.01.008] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 12/19/2011] [Indexed: 05/31/2023]
Abstract
Most tracheobronchial and parenchymatous congenital abnormalities of the respiratory system are diagnosed in early life. However, some lesions may be initially silent and diagnosed only in adulthood. These cases included congenital abnormalies of the tracheobronchial tract (tracheal and/or bronchial stenosis, bronchogenic cysts, bronchial atresia, oesotracheal fistula, oesobronchial fistula, and tracheal diverticulum), and lung parenchyma itself (pulmonary sequestration, congenital cystic adenomatoïd malformation, lobar emphysema, lobar or lung hypoplasia). To avoid dreadful complications, these rare cases deserve surgical management, and must be known by chest physicians and surgeons.
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Affiliation(s)
- P Mordant
- Service de chirurgie thoracique, hôpital européen Georges-Pompidou, Assistance publique-Hôpitaux de Paris, 20 rue Leblanc, Paris, France
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Mordant P, Le Pimpec-Barthes F, Riquet M. [Primitive thoracic lymphatic disease in adults]. REVUE DE PNEUMOLOGIE CLINIQUE 2012; 68:152-160. [PMID: 22425504 DOI: 10.1016/j.pneumo.2012.01.013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 12/19/2011] [Indexed: 05/31/2023]
Abstract
Primary thoracic lymphatic diseases are both infrequent and probably under diagnosed. Current classification distinguishes lymphangioma (solitary tumor), lymphangiectasies (dilatation), lymphangiomatosis (proliferation) and lymphatic dysplasia syndrome (dysplasia). Classifications' efforts and radiologic progress may lead to an improvement in the management of these patients.
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Affiliation(s)
- P Mordant
- Service de chirurgie thoracique, université Paris-5, hôpital européen Georges-Pompidou, Assistance publique-Hôpitaux de Paris, 20 rue Leblanc, Paris, France
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