HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Bolton, J. W. Articles by Shahian, D. M. Search for Related Content PubMed PubMed Citation Articles by Bolton, J. W. Articles by Shahian, D. M.

The Annals of Thoracic Surgery, Vol 53, 1134-1137, Copyright © 1992 by The Society of Thoracic Surgeons

ARTICLES

Asymptomatic bronchogenic cysts: what is the best management?

JW Bolton and DM Shahian
Department of Thoracic and Cardiovascular Surgery, Lahey Clinic Medical Center, Burlington, Massachusetts 01805.

The management of patients with uncomplicated bronchogenic cysts has evolved over the last decade with the development of more precise diagnostic techniques and a better understanding of the variable natural history of these lesions. Although an aggressive surgical approach is still indicated for infants and children, it is acceptable to treat asymptomatic bronchogenic cysts in adults in a conservative manner. Observation alone may be indicated for small, classic, asymptomatic cysts. The use of mediastinoscopy or percutaneous or transbronchial needle techniques for carinal or paratracheal cysts offers the option of fluid aspiration or wall biopsy, thus avoiding thoracotomy. An air-fluid level in the cyst, the presence of malignant cells in the aspirate or biopsy, the development of symptoms, or enlargement or recurrence of the cyst on follow-up examination mandates complete surgical removal at thoracotomy. This is also indicated for intraparenchymal bronchogenic cysts, which are more prone to bronchial communication and infectious complications and for which the distinction from a carcinoma with a cystic component may be difficult.

This article has been cited by other articles:

				E. Servais, S. Paul, J. L. Port, N. K. Altorki, and P. C. Lee Carcinoid tumor nested within a bronchogenic cyst J. Thorac. Cardiovasc. Surg., July 1, 2008; 136(1): 227 - 228. [Full Text] [PDF]

				H. Kiral, C. S. Tezel, A. Kosar, and M. Keles Clinicopathologic Demonstration of Complex Bronchopulmonary Foregut Malformation Ann. Thorac. Surg., June 1, 2008; 85(6): 2114 - 2116. [Abstract] [Full Text] [PDF]

				G. Shanmugam Adult congenital lung disease Eur. J. Cardiothorac. Surg., September 1, 2005; 28(3): 483 - 489. [Abstract] [Full Text] [PDF]

				A. Basoglu, B. Celik, and A. T. Sengul Giant parenchymal bronchogenic cyst mimicking hydropneumothorax J. Thorac. Cardiovasc. Surg., October 1, 2003; 126(4): 1201 - 1202. [Full Text] [PDF]

				R. B. Ponn Simple Mediastinal Cysts: Resect Them All? Chest, July 1, 2003; 124(1): 4 - 6. [Full Text] [PDF]

				S.-i. Takeda, S. Miyoshi, M. Minami, M. Ohta, A. Masaoka, and H. Matsuda Clinical Spectrum of Mediastinal Cysts Chest, July 1, 2003; 124(1): 125 - 132. [Abstract] [Full Text] [PDF]

				A. R. Zambudio, J. T. Lanzas, M. J. R. Calvo, P. J. G. Fernandez, and P. P. Paricio Non-neoplastic mediastinal cysts Eur. J. Cardiothorac. Surg., November 1, 2002; 22(5): 712 - 716. [Abstract] [Full Text] [PDF]

				G. Kostopoulos, A. Efstathiou, A. Skordalaki, and I. Fessatidis Bronchogenic cyst infected by Salmonella enteritidis followed gastroenteritis Eur. J. Cardiothorac. Surg., May 1, 2002; 21(5): 935 - 937. [Abstract] [Full Text] [PDF]

				K Ashizawa, T Okimoto, T Shirafuji, H Kusano, H Ayabe, and K Hayashi Anterior mediastinal bronchogenic cyst: demonstration of complicating malignancy by CT and MRI Br. J. Radiol., October 1, 2001; 74(886): 959 - 961. [Abstract] [Full Text] [PDF]

				H. P. McAdams, W. M. Kirejczyk, M. L. Rosado-de- Christenson, and S. Matsumoto Bronchogenic Cyst: Imaging Features with Clinical and Histopathologic Correlation Radiology, November 1, 2000; 217(2): 441 - 446. [Abstract] [Full Text]

				E. Martinod, F. Pons, J. Azorin, J. Mouroux, M. Dahan, J.-M. Faillon, A. Dujon, P. S. Lajos, M. Riquet, and R. Jancovici Thoracoscopic excision of mediastinal bronchogenic cysts: results in 20 cases Ann. Thorac. Surg., May 1, 2000; 69(5): 1525 - 1528. [Abstract] [Full Text] [PDF]

				P. Barsotti, A. Chatzimichalis, G. Massard, and J.-M. Wihlm Cervical bronchogenic cyst mimicking thyroid adenoma Eur. J. Cardiothorac. Surg., May 1, 1999; 13(5): 612 - 614. [Abstract] [Full Text] [PDF]

				D.-G. Cho and M.-S. Kwack Video-Assisted Thoracoscopic Closure of the Delayed Bronchial Rupture After Thoracoscopic Resection of Mediastinal Bronchogenic Cyst Chest, January 1, 1999; 115(1): 257 - 259. [Abstract] [Full Text] [PDF]

				M. ZAUGG, V. KAPLAN, U. WIDMER, P. C. BAUMANN, and E. W. RUSSI Fatal Air Embolism in an Airplane Passenger with a Giant Intrapulmonary Bronchogenic Cyst Am. J. Respir. Crit. Care Med., May 1, 1997; 157(5): 1686 - 1689. [Abstract] [Full Text]

				A. G. Coran and R. Drongowski Congenital Cystic Disease of the Tracheobronchial Tree in Infants and Children: Experience With 44 Consecutive Cases Arch Surg, May 1, 1994; 129(5): 521 - 527. [Abstract] [PDF]