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[Pulmonary and mediastinal bronchogenic cysts].

R Doğan1, G Cetin, B Moldibi

  • 1Clinique de Chirurgie Thoracique, Centre de Pneumologie Atatürk, Ankara, Turquie.

Revue Des Maladies Respiratoires
|January 1, 1988
PubMed
Summary

Bronchogenic cysts, congenital anomalies of the tracheo-bronchial tree, often present with recurrent pulmonary infections, delaying diagnosis. Surgical intervention varies based on cyst location and size.

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Area of Science:

  • Thoracic Surgery
  • Congenital Anomalies
  • Pulmonary Medicine

Background:

  • Bronchogenic cysts are rare congenital anomalies arising from abnormal tracheo-bronchial tree branching.
  • These cysts can occur within the lung parenchyma or the mediastinum.

Purpose of the Study:

  • To review surgical cases of bronchogenic cysts.
  • To analyze diagnostic challenges and treatment modalities for bronchogenic cysts.

Main Methods:

  • Retrospective review of 21 surgically treated bronchogenic cyst cases between 1975 and 1987.
  • Analysis of cyst location, pre-operative diagnosis, and surgical procedures.

Main Results:

  • Eighteen pulmonary and 3 mediastinal bronchogenic cysts were operated on.

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  • Pre-operative diagnosis via bronchoscopy was achieved in only 8 cases, with recurrent pulmonary infection being a common diagnostic delay.
  • Surgical treatments included cystectomy, wedge resection, segmental resection, extirpation, and lobectomy.

    • Conclusions:

    • Bronchogenic cysts frequently present with pulmonary infections, complicating pre-operative diagnosis.
    • Surgical management strategies for bronchogenic cysts are diverse and tailored to individual cases.