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Bronchogenic cysts: clinicopathological presentation and treatment
S Aktoğu1, G Yuncu, H Halilçolar
1Dept of Pulmonary Medicine, Teaching Hospital, Izmir, Turkey.
The European Respiratory Journal
|October 1, 1996
Summary
Bronchogenic cysts can cause serious complications, even if initially asymptomatic. Surgical excision is recommended for definitive diagnosis and to prevent adverse outcomes, as symptoms or enlargement may necessitate surgery later.
Area of Science:
- Thoracic Surgery
- Diagnostic Imaging
- Pulmonology
Background:
- Bronchogenic cysts are congenital anomalies that can occur in the mediastinum or lung.
- These cysts may remain asymptomatic or present with various complications.
Purpose of the Study:
- To evaluate the clinical presentations and surgical outcomes of patients with bronchogenic cysts.
- To determine the optimal management strategy for bronchogenic cysts, considering symptoms and complications.
Main Methods:
- Retrospective review of 31 patients (1 pediatric, 30 adult) with bronchogenic cysts.
- Analysis of preoperative symptoms, operative findings, and postoperative outcomes.
- Comparison of outcomes between symptomatic and asymptomatic patients.
Main Results:
- 25 patients were symptomatic, 6 were asymptomatic at presentation.
- Complications included superior vena cava syndrome, tracheal compression, pneumothorax, pleurisy, and pneumonia.
- Operative difficulties were more frequent in symptomatic patients (13/25) compared to asymptomatic ones.
- Definitive diagnosis was achieved through surgical excision in all cases.
Conclusions:
- Bronchogenic cysts can lead to life-threatening complications.
- Surgical excision is crucial for definitive diagnosis and management.
- Prophylactic surgery may be warranted even for asymptomatic cysts due to the risk of complications.