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A novel approach: chest wall cyst excised by MIS
Yazan N AlJamal1, Alan E Siroy2, David R Farley3
1Division of Gastroenterologic and General Surgery, College of Medicine, Mayo Clinic, Rochester, MN, USA.
Journal of Surgical Case Reports
|June 26, 2014
Summary
A rare, large thoracic wall cyst in a male patient was successfully removed using minimally invasive surgery. This deep chest wall cyst, unique in its histology and location, showed no recurrence a year post-operation.
Area of Science:
- Thoracic Surgery
- Surgical Pathology
- Medical Imaging
Background:
- Recurrent deep thoracic wall cysts are uncommon, posing diagnostic and therapeutic challenges.
- A 62-year-old male presented with a large, recurrent posterior chest wall cyst previously treated with aspiration.
- Magnetic Resonance Imaging (MRI) revealed a significant fluid-filled cavity measuring 23 cm x 11 cm.
Observation:
- Magnetic Resonance Imaging (MRI) revealed a 23x11 cm fluid-filled cavity.
- Aspiration yielded serous fluid, but the cyst recurred.
- The lesion was surgically excised via a minimally invasive approach.
Findings:
- Pathologic examination identified a benign, fibrous-walled cyst lacking an epithelial lining.
- Histology and location are unique, with no similar reported cases.
- The patient remained recurrence-free 1 year post-excision.
Implications:
- Minimally invasive excision is a viable treatment for recurrent deep thoracic wall cysts.
- This case expands the understanding of rare thoracic pathologies.
- Further research may elucidate the etiology of such unique cystic lesions.
