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Pediatric Bronchogenic Cysts: A Case Series of Six Patients Highlighting Diagnosis and Management
Jason E Cohn1, Kimberly Rethy1, Rajeev Prasad2
1Department of Otolaryngology-Head and Neck Surgery, Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USA.
Insights
This study reviewed six pediatric bronchogenic cyst cases, emphasizing their diagnosis and surgical management. Complete excision proved effective, with no recurrences, highlighting the importance of surgical anatomy knowledge.
Area of Science:
- Pediatric Surgery
- Thoracic Surgery
- Surgical Pathology
Background:
- Bronchogenic cysts are rare congenital anomalies.
- They can present as cystic masses in various locations.
- Accurate diagnosis and management are crucial for pediatric patients.
Purpose of the Study:
- To present six pediatric bronchogenic cyst cases.
- To highlight diagnostic and management strategies.
- To emphasize the importance of surgical anatomy.
Main Methods:
- Retrospective chart review (2006-2017).
- Database query for 'bronchogenic cyst'.
- Analysis of six identified cases.
Main Results:
- Cases located in the neck, chest wall, mediastinum, and thyroid.
- All patients underwent complete surgical excision.
- No recurrences or complications were observed post-excision.
Conclusions:
- Bronchogenic cysts are rare but important differentials for pediatric cystic masses.
- Preoperative imaging and surgical anatomy knowledge are critical for safe excision.
- Complete excision leads to favorable outcomes.
Abstract:
Purpose: To present six cases of bronchogenic cysts while highlighting the diagnosis and management of this anomaly. Materials and Methods: A retrospective chart review was conducted using our institution's Pathology database. The database was queried for "bronchogenic cyst." From 2006 through 2017, six unusual cases were identified. Results: The six cases of bronchogenic cysts were located in the neck (two cases), chest wall, mediastinum (two cases), and thyroid. All six of our patients underwent complete excision and did not experience recurrence or other complications. Conclusion: Although rare, bronchogenic cysts should be considered in the differential diagnosis of peculiar cystic masses in the pediatric population. Considering the crucial regional anatomy that may be associated with bronchogenic cysts, intimate knowledge of surgical anatomy using preoperative imaging is critical in most cases for their safe and effective excision.
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