جستجوی مقالات مرتبط با کلیدواژه « کیست برونکوژنیک » در نشریات گروه « پزشکی »

Bronchogenic cysts commonly occur isolated in the bronchial tree, typically in the mediastinum. However, subcutaneous and cutaneous forms can rarely be found. Herein, we present a case of a 3-year-old girl with this lesion.

A 3-year-old girl presented to the clinic with an ulcerated plaque on her anterior chest wall. She mentioned a history of a skin-colored nodule on the same location that had been present since her birth, and was excised one year ahead with the diagnosis of epidermoid cyst. On examination, an ulcerative plaque was evident on the left midclavicular area with no tenderness, discharge, erythema, or regional lymphadenopathy. Incisional biopsy was performed. Histopathological study revealed non-dysplastic, squamous, pseudo-stratified, ciliated respiratory epithelium with diffuse inflammatory lymphomononuclear infiltration in the lower stroma, confirming the diagnosis of cutaneous bronchogenic cysts. The patient was referred for surgical resection of the lesion, but refused to continue the treatment.

Although lesions associated with skin appendages are more common in the diagnosis of subcutaneous masses, less frequent diagnoses should also be in mind for lesions with special localization or recurrent and unusual course, and histopathological examination of tissue specimens should be performed.</div>

Bronchogenic cysts are rare congenital lesions which originate from ventral foregut and most commonly originated in the central mediastinum. They rarely have symptoms and at the time of diagnosis they usually are large, infectious or complicated. In this study a case report of bronchogenic cyst is reported. Case: The patient to be presented is a 47 years old man with sudden onset of chest pain, severe dyspnea, tachypnea and decreasing right lung sounds. Symptoms of pneumotorax were observed in lung radiography. The patient was treated by inserting chest-tube, but there was no response to the treatment. Urgent thoracotomy was performed. A large single bronchogenic cyst was detected in the right lung parenchyma attached to intermediate bronchus. Complete resection was performed. According to the pathology report, pneumothorax was developed secondary to rupture of the bronchogenic cyst. Lung parenchyma is not a common area for developing bronchogenic cyst but it has special importance because of it's severe complications. Since exact diagnosis is not always possible before surgery, it is necessary to perform resection in all suspicious cases.

In medicine many cases which seem to be difficult and are rarely diagnosed can be discovered easily if precise attention be paied towards them so that they can be treated properly. This can be proved by discussing the following case. The case to be presented is an 11 month years old female baby with chief complaint as respiratory symptoms since 8 months ago. During the work up secretions and inflammations in both bronchuses, hyperinflation in both lungs - especially in right - and right posterior mediastinal mass were observed. The patient underwent surgery under the probable diagnosis of having a bronchogenic cyst (BC) which later on was documented by the pathologist. BCs are rare benign congenital developmental lesions of ventral foregut. They account for approximately %10 of mediastinal masses among children. These occur most frequently in the posterior part of mediastinum, usually more common on the right and middle. They are always symptomatic in children but rarely diagnosed at the time of the birth. Because of dangerous complications, early diagnosis is imperative. A chest radiograph raises any suspicion about having a BC, that can be documented by a chest CT-scan with contrast. All identified BCs should be surgically removed. BCs should be placed in the differential diagnosis of mediastinal masses, chronic productive cough, recurrnt pulmonary infection, unilateral lung hyperinflation in radiograhy, and FTT in children.