Archive for the ‘Cysts’ Category

Clinical Spectrum of Mediastinal Cysts: Summary

Ribet and colleagues followed up two patients with bronchogenic cysts who refused surgery for 15 years and found that one patient remained free of symptoms and the other died of a malignancy of unknown origin. As for thymic and mesothelial cysts, watchful observation data were not available in our experience. An accurate imaging diagnosis may […]

Clinical Spectrum of Mediastinal Cysts: Surgery and Outcome

The two patients with meningoceles appeared without respiratory symptoms. Recurrent chest pain was associated with the thoracic duct cyst similar to the previous report. As for the diagnostic modality, chest radiograph was once the most cost- and time-efficient method of diagnosing surgical lesions, and was the only diagnostic tool in our early series. Before the […]

Clinical Spectrum of Mediastinal Cysts: Mediastinum

St-Georges et al reviewed 86 bronchogenic cysts and found major complications such as fistulization with airway, and ulcerations or hemorrhage in mediastinal cysts that were observed with parenchymal cysts. In addition, other potential complications including arrhythmia or superior vena cava syndrome may occur. Another important issue is that malignancy is associated with bronchogenic cysts.

Clinical Spectrum of Mediastinal Cysts: Patients with bronchogenic cysts

Symptomatic patients were seen in 39.2% with bronchogenic/ esophageal cysts, 40% with thymic cysts, and 15.8% with pericardial/pleural cysts, respectively. Asymptomatic patients were most common in patients with mesothelial cysts compared to type of cysts (p = 0.06).

Clinical Spectrum of Mediastinal Cysts: Symptomatology and Diagnosis

In any case, local disruption of thymic tissue can induce the formation or growth of cysts. In the current series, they mainly encompassed thymic cysts of congenital origin, and we excluded the cystic masses of neoplastic origin such as cystic thymomas or degeneration after surgery. Of note, Suster and Rosai reported 18 cases of multiocular […]

Clinical Spectrum of Mediastinal Cysts: Pleural cysts

In this sense, bronchogenic cysts and esophageal cysts (duplications) share a similar developmental background, namely foregut budding errors, rather than being separate disease entities., A distinction is made between bronchogenic and esophageal cysts when cartilage is present, which suggests the cyst is bronchogenic in origin. However, Nobuhara et al advocated naming both types as “foregut […]

Clinical Spectrum of Mediastinal Cysts: Bronchogenic cysts

Bronchogenic cysts were more common than esophageal cysts. The prevalence of bronchogenic cysts was reported to be 1:42,00 and 1:68,000 of admissions to two hospitals; however, it is difficult to appreciate the prevalence of the cysts exactly, since some aged patients have lesions that remain forever silent. Bronchogenic and esophageal cysts originate from the ventral […]

Clinical Spectrum of Mediastinal Cysts: Discussion

Three patients with bronchogenic cysts were converted to standard thoracotomy because of severe adhesions around the cysts, particularly into the esophageal muscle layers. Three patients with pericardial cysts had a communication with the pericardial cavity, which were found during surgery, thoracoscopic fenestration was performed. One female patient with a thymic cyst had a concurrent neurogenic […]

Clinical Spectrum of Mediastinal Cysts: Surgical Treatment

Overall, 38 patients (36.2%) with mediastinal cysts were symptomatic: 39.2% of bronchogenic/esophageal foregut cysts, 40% of thymic cysts, and 15.8% of pericardial/pleural cysts. These symptoms usually appeared in progressive fashion in most patients. Overall common symptoms were retrosternal chest pain (14.3%), followed by dyspnea (7.6%), cough (6.7%), fever (5.7%), and hoarseness (4.8%). Of particular interest, […]

Clinical Spectrum of Mediastinal Cysts: Symptoms

Small subcarinal or hilar bronchogenic cysts, and small thymic cysts were found as homogenous water density masses on chest CT. Barium swallow studies and/or esophagoscopy were performed mainly for patients for suspected esophageal and bronchogenic cysts. CT was performed in patients after 1980, which revealed round, well-circumscribed masses of water density or a little higher. […]

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