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Bronchogenic cyst: an unusual cause of lump in the neck
F Rapado1, J D Bennett, J M Stringfellow
1Department of Otolaryngology-Head and Neck Surgery, Hope Hospital, Manchester, U.K.
Insights
Bronchogenic cysts, rare congenital lesions, typically affect children. This case highlights a bronchogenic cyst presenting as a neck mass in an adult, diagnosed via imaging and treated with surgery.
Area of Science:
- Thoracic Surgery
- Congenital Abnormalities
- Diagnostic Imaging
Background:
- Bronchogenic cysts are rare congenital anomalies originating from the foregut.
- They are typically diagnosed in pediatric patients presenting with infectious or compressive symptoms.
- Diagnosis in adults is uncommon, often presenting atypically.
Observation:
- A case of a bronchogenic cyst presenting as a neck mass in an adult patient is described.
- The lesion was accurately diagnosed using radiological imaging prior to intervention.
- This presentation is unusual for bronchogenic cysts, which are more commonly intrathoracic.
Findings:
- Radiological imaging, including CT scans and MRI, is crucial for accurate diagnosis of bronchogenic cysts.
- The diagnostic accuracy of imaging facilitated appropriate pre-operative planning.
- Complete surgical excision remains the definitive treatment for bronchogenic cysts.
Implications:
- This case expands the known clinical presentations of bronchogenic cysts.
- It emphasizes the importance of considering rare diagnoses in adult patients with neck masses.
- Accurate pre-operative imaging is vital for successful surgical management of adult bronchogenic cysts.
Abstract:
Bronchogenic cysts are rare congenital benign lesions that are usually detected in the paediatric patient with symptoms of infection or compression on vital structures. They are rarely diagnosed in the adult population. We present a case of bronchogenic cyst presenting as a lump in the neck in an adult patient. Radiological imaging helped to diagnose this lesion accurately before any form of intervention. Complete surgical excision is the treatment of choice.