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Bronchogenic cyst of the esophagus: clinical and imaging features of seven cases

      Abstract

      Seven unusual cases of esophageal bronchogenic cyst (EBC) are presented. Different from mediastinal or pulmonary bronchogenic cysts, EBCs predominately affect young women (six out of seven cases; mean age, 29.9 years), and clinically, such cases were characterized by dysphagia and chest pain, especially during exercise. On radiographs and computed tomographs, EBCs typically appeared as 3- to 4-cm midthoracic cystic masses close abutting to the midthoracic esophagus. Rarely, exophytic lower thoracic EBC may mimic lung nodule. Total cyst excision usually offers satisfactory outcome with no recurrence in long-term follow-up.

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      References

        • O'Rahilly R
        • Muller F
        Respiratory and alimentary relations in staged human embryos. New embryological data and congenital anomalies.
        Ann Otol Rhinol Laryngol. 1984; 93: 421-429
        • Berrocal T
        • Madrid C
        • Novo S
        • et al.
        Congenital anomalies of the tracheobronchial tree, lung, and mediastinum: embryology, radiology, and pathology.
        Radiographics. 2004; 24 ([10.1148/rg.e17]): e17
        • St-Georges R
        • Deslauriers J
        • Duranceau A
        • et al.
        Clinical spectrum of bronchogenic cysts of the mediastinum and lung in the adult.
        Ann Thorac Surg. 1991; 52: 6-13
        • Patel SR
        • Meeker DP
        • Biscotti CV
        • et al.
        Presentation and management of bronchogenic cysts in the adult.
        Chest. 1994; 106: 79-85
        • Ribet ME
        • Copin MC
        • Gosselin B
        Bronchogenic cysts of the mediastinum.
        J Thorac Cardiovasc Surg. 1995; 109: 1003-1010
        • Suen HC
        • Mathisen DJ
        • Grillo HC
        • et al.
        Surgical management and radiological characteristics of bronchogenic cysts.
        Ann Thorac Surg. 1993; 55: 476-481
        • Aktogu S
        • Yuncu G
        • Halilcolar H
        • et al.
        Bronchogenic cysts: clinicopathological presentation and treatment.
        Eur Respir J. 1996; 9: 2017-2021
      1. Muller NL Fraser RS Coleman N Pare PD Radiologic diagnosis of disease of the chest. 1st ed. WB Saunders, Philadelphia2001: 120-140
        • Rozenblit A
        • Iqbal A
        • Kaleya R
        • Rozenblit G
        Case report: intradiaphragmatic bronchogenic cyst.
        Clin Radiol. 1998; 53: 918-920
        • Fraga S
        • Helwig EB
        • Rosen SH
        Bronchogenic cysts in the skin and subcutaneous tissue.
        Am J Clin Pathol. 1971; 56: 230-238
        • Gomes MN
        • Hufnagel CA
        Intrapericardial bronchogenic cysts.
        Am J Cardiol. 1975; 36: 817-822
        • Coselli MP
        • de Ipolyi P
        • Bloss RS
        • et al.
        Bronchogenic cysts above and below the diaphragm: report of eight cases.
        Ann Thorac Surg. 1987; 44: 491-494
        • Hallani H
        • Eslick GD
        • Cox M
        • et al.
        Chest pain? Cause.
        Lancet. 2004; 363: 452
        • Sashiyama H
        • Miyazaki S
        • Okazaki Y
        • et al.
        Esophageal bronchogenic cyst successfully excised by endoscopic mucosal resection.
        Gastrointest Endosc. 2002; 56: 141-145
        • Sasajima K
        • Koizumi K
        • Onda M
        • et al.
        Thoracoscopic excision with mini-thoracotomy for a bronchogenic cyst of the esophagus.
        Hepatogastroenterology. 1999; 46: 1785-1787
        • Ott K
        • Sendler A
        • Heidecke CD
        • et al.
        Bronchogenic cyst of the esophagus with high tumor marker levels—a case report and review of the literature.
        Dis Esophagus. 1998; 11: 130-133
        • Kollias VD
        • Panagiotides HC
        • Kantidakis GH
        • Charonis CG
        Intramural bronchogenic cyst of the oesophagus: a rare entity.
        Respiration. 1998; 65: 208-210
        • Vanclooster P
        • Lerut T
        • Gruwez JA
        Intramural bronchogenic esophageal cyst: an uncommon event in esophageal surgery.
        Acta Chir Belg. 1988; 88: 9-12
        • Fekete F
        • Rongere C
        • Foulon JP
        • Molas G
        Bronchogenic esophageal cysts in the adult. Four cases.
        Presse Med. 1988; 17: 851-854
        • Zaunbauer W
        • Amsler UJ
        • Haertel M
        Bronchogenic cyst. A rare benign esophageal tumor.
        Radiologe. 1996; 36: 991-995
        • Kennebeck GA
        • Wong AK
        • Berry WR
        • et al.
        Mediastinal bronchogenic cyst manifesting as a catastrophic myocardial infarction.
        Ann Thorac Surg. 1999; 67: 1789-1791
        • Creech O
        • De Bakey ME
        Ciliated epithelial cyst of the esophagus associated with cardiac abnormalities; report of two cases.
        J Thorac Surg. 1954; 28: 64-77
        • McAdams HP
        • Kirejczyk WM
        • Rosado de Christenson ML
        • Matsumoto S
        Bronchogenic cyst: imaging features with clinical and histopathologic correlation.
        Radiology. 2000; 56: 441-446
        • Mendelson DS
        • Rose JS
        • Efremidis SC
        • et al.
        Bronchogenic cysts with high CT numbers.
        AJR Am J Roentgenol. 1983; 140: 463-465
        • Wychulis AR
        • Payne WS
        • Clagett OT
        • Woolner LB
        Surgical treatment of mediastinal tumors: a 40 year experience.
        J Thorac Cardiovasc Surg. 1971; 62: 379-392
        • Mouroux J
        • Bourgeon A
        • Benchimal D
        • et al.
        Bronchogenic cysts of the esophagus. Classical surgery or video-surgery?.
        Chirurgie. 1991; 117: 564-568