Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
권호 표지
DOI QR코드

DOI QR Code

Mediastinal Bronchogenic Cyst, which was Grown Rapidly

빠르게 진행하는 종격동의 기관지기원 물혹

  • Kim, Chul (Department of Internal medicine, Soonchunhyang University College of Medicine) ;
  • Kim, Yang Ki (Department of Internal medicine, Soonchunhyang University College of Medicine) ;
  • Lee, Young Mok (Department of Internal medicine, Soonchunhyang University College of Medicine) ;
  • Kim, Ki Up (Department of Internal medicine, Soonchunhyang University College of Medicine) ;
  • Kim, Hyun Zo (Department of Chest Surgery, Soonchunhyang University College of Medicine) ;
  • Hwang, Jung Hwa (Department of Radiology, Soonchunhyang University College of Medicine) ;
  • Kim, Dong Won (Department of Pathology, Soonchunhyang University College of Medicine) ;
  • Uh, Soo-Taek (Department of Internal medicine, Soonchunhyang University College of Medicine)
  • 김철 (순천향대학교 의과대학 내과학교실) ;
  • 김양기 (순천향대학교 의과대학 내과학교실) ;
  • 이영목 (순천향대학교 의과대학 내과학교실) ;
  • 김기업 (순천향대학교 의과대학 내과학교실) ;
  • 김현조 (순천향대학교 의과대학 흉부외과학교실) ;
  • 황정화 (순천향대학교 의과대학 영상의학교실) ;
  • 김동원 (순천향대학교 의과대학 병리학교실) ;
  • 어수택 (순천향대학교 의과대학 내과학교실)
  • Received : 2008.10.04
  • Accepted : 2009.02.04
  • Published : 2009.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

Bronchogenic cyst arises from anomalous budding of the primitive foregut during embryonic development and it represents a part of the spectrum of bronchopulmonary foregut malformations. Approximately two-thirds of the malformations are found within the mediastinum, and one-third are found in the lung parenchyma. The prevalence of bronchogenic cyst is unknown, presumably because most patients are asymptomatic. Incidentally detected bronchogenic cysts are usually removed at the time of diagnosis. We do not know how and why bronchogenic cysts grow. We recently experienced a case of rapidly growing mediastinal mass in a young adult, and this presented as a huge mass that had newly developed within one year. This mass was pathologically confirmed to be a bronchogenic cyst. We report on this case of a rapidly growing bronchogenic cyst, which is a rare characteristic of this type of cyst.

기관지기원 물혹은 드물게 발생하는 선천성 질환으로 주로 종격동에 분포하며 기관지와의 소통이 발생하는 경우, 악성으로 전환된 경우를 제외하고는 크기가 갑자기 커지는 경우는 드문 일이다. 1년 전 검진에서 시행한 단순 흉부 촬영에서 이상이 없었던 젊은 남자가 흉부검진에서 종격동 덩어리가 발견되어 급격한 크기의 증가가 확인되었던 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

  1. Kirwan WO, Walbaum PR, McCormack RJ. Cystic intrathoracic derivatives of the foregut and their compli cations. Thorax 1973;28:424-8 https://doi.org/10.1136/thx.28.4.424
  2. Haller JA Jr, Golladay ES, Pickard LR, Tepas JJ 3rd, Shorter NA, Shermeta DW. Surgical management of lung bud anomalies: lobar emphysema, bronchogenic cyst, cystic adenomatoid malformation, and intralobar pulmonary sequestration. Ann Thorac Surg 1979;28: 33-43 https://doi.org/10.1016/S0003-4975(10)63389-9
  3. Maier HC. Bronchiogenic cysts of the mediastinum. Ann Surg 1948;127:476-502 https://doi.org/10.1097/00000658-194803000-00010
  4. You M, Park S. Congenital bronchogenic cyst: report of a case. J Korean Surg Soc 1967;9:537-40
  5. Kim KH, Kwon SS, Yoon SJ, Kim YK, Han KD, Moon HS, et al. A case of congenital bronchogenic cyst with infection. Tuberc Respir Dis 1990;37:323-8
  6. Kim YW, Lee SH, Hong SC, Lee HH, Park SJ, Lee GJ, et al. A case report of a bronchogenic cyst misconceived to lung cancer. Tuberc Respir Dis 2003; 55:526-30 https://doi.org/10.4046/trd.2003.55.5.526
  7. Kim GH, Kim KH, Kim MS, Park JE, Kim DJ, Son HS, et al. A case of pulmonary aspergilloma in bronchogenic cyst associated with an actinomycosis. Tuberc Respir Dis 2004;57:584-8 https://doi.org/10.4046/trd.2004.57.6.584
  8. Choi KA, Koh WJ, Lee KS, Han J, Kim K. Multicystic pulmonary parenchymal lesions in a young adult with hemoptysis. Tuberc Respir Dis 2007;62:71-3 https://doi.org/10.4046/trd.2007.62.1.71
  9. Sarper A, Ayten A, Golbasi I, Demircan A, Isin E. Bronchogenic cyst. Tex Heart Inst J 2003;30:105-8
  10. McAdams HP, Kirejczyk WM, Rosado-de-Christenson ML, Matsumoto S. Bronchogenic cyst: imaging features with clinical and histopathologic correlation. Radiology 2000;217:441-6
  11. Kramer H, van Putten JW, Douma WR, Smidt AA, van Dullemen HM, Groen HJ. Technical description of endoscopic ultrasonography with fine-needle aspiration for the staging of lung cancer. Respir Med 2005; 99:179-85 https://doi.org/10.1016/j.rmed.2004.06.011
  12. Kawase Y, Takahashi M, Takemura H, Tomita S, Watanabe G. Surgical treatment of a bronchogenic cyst in the interatrial septum. Ann Thorac Surg 2002; 74:1695-7 https://doi.org/10.1016/S0003-4975(02)03863-8
  13. Ashizawa K, Okimoto T, Shirafuji T, Kusano H, Ayabe H, Hayashi K. Anterior mediastinal bronchogenic cyst: demonstration of complicating malignancy by CT and MRI. Br J Radiol 2001;74:959-61 https://doi.org/10.1259/bjr.74.886.740959
  14. Kumar A, Aggarwal S, Halder S, Kumar S, Khilnani GC. Thoracoscopic excision of mediastinal bronchogenic cyst: a case report and review of literature. Indian J Chest Dis Allied Sci 2003;45:199-201