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Extrapulmonary bronchogenic cyst: A case report

INTRODUCTION: Bronchogenic cysts (BCs) are rare congenital lesions that originate from the tracheobronchial bud and can be found in any organ derived from the embryonic foregut. Complete surgical excision is the treatment of choice, and the definitive diagnosis is established by histopathological ex...

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Autores principales: Núñez-Rocha, Ricardo E., Pérez, Valentina, Urango, María Lorena, Mejía, Marcela, Palau, Mauricio, Herrera-Almario, Gabriel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10445448/
https://www.ncbi.nlm.nih.gov/pubmed/37603914
http://dx.doi.org/10.1016/j.ijscr.2023.108706
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author Núñez-Rocha, Ricardo E.
Pérez, Valentina
Urango, María Lorena
Mejía, Marcela
Palau, Mauricio
Herrera-Almario, Gabriel
author_facet Núñez-Rocha, Ricardo E.
Pérez, Valentina
Urango, María Lorena
Mejía, Marcela
Palau, Mauricio
Herrera-Almario, Gabriel
author_sort Núñez-Rocha, Ricardo E.
collection PubMed
description INTRODUCTION: Bronchogenic cysts (BCs) are rare congenital lesions that originate from the tracheobronchial bud and can be found in any organ derived from the embryonic foregut. Complete surgical excision is the treatment of choice, and the definitive diagnosis is established by histopathological examination. PRESENTATION OF THE CASE: 41-year-old female with diastolic arterial hypertension and a heterogeneous mass, with multiple calcifications and a solid component with well-defined regular contours. A biochemical study revealed no functionality. Intraoperatively we noticed an adrenal gland-dependent mass with a cystic component and an area of sebaceous content and histological examination confirmed a bronchogenic cyst. DISCUSSION: The majority of cases of BCs are asymptomatic. They can be intrapulmonary, mediastinal or ectopic, being the left adrenal region the most common retroperitoneal location. Symptomatic cysts should always be surgically resected either by thoracotomy or a minimally invasive technique, which has been shown to improve postoperative discomfort and shorten hospital stay with reliable postoperative outcomes. CONCLUSION: Despite their low incidence, it is important to consider BCs in the differential diagnosis of retroperitoneal masses, particularly in the left para-adrenal region.
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spelling pubmed-104454482023-08-24 Extrapulmonary bronchogenic cyst: A case report Núñez-Rocha, Ricardo E. Pérez, Valentina Urango, María Lorena Mejía, Marcela Palau, Mauricio Herrera-Almario, Gabriel Int J Surg Case Rep Case Report INTRODUCTION: Bronchogenic cysts (BCs) are rare congenital lesions that originate from the tracheobronchial bud and can be found in any organ derived from the embryonic foregut. Complete surgical excision is the treatment of choice, and the definitive diagnosis is established by histopathological examination. PRESENTATION OF THE CASE: 41-year-old female with diastolic arterial hypertension and a heterogeneous mass, with multiple calcifications and a solid component with well-defined regular contours. A biochemical study revealed no functionality. Intraoperatively we noticed an adrenal gland-dependent mass with a cystic component and an area of sebaceous content and histological examination confirmed a bronchogenic cyst. DISCUSSION: The majority of cases of BCs are asymptomatic. They can be intrapulmonary, mediastinal or ectopic, being the left adrenal region the most common retroperitoneal location. Symptomatic cysts should always be surgically resected either by thoracotomy or a minimally invasive technique, which has been shown to improve postoperative discomfort and shorten hospital stay with reliable postoperative outcomes. CONCLUSION: Despite their low incidence, it is important to consider BCs in the differential diagnosis of retroperitoneal masses, particularly in the left para-adrenal region. Elsevier 2023-08-20 /pmc/articles/PMC10445448/ /pubmed/37603914 http://dx.doi.org/10.1016/j.ijscr.2023.108706 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Núñez-Rocha, Ricardo E.
Pérez, Valentina
Urango, María Lorena
Mejía, Marcela
Palau, Mauricio
Herrera-Almario, Gabriel
Extrapulmonary bronchogenic cyst: A case report
title Extrapulmonary bronchogenic cyst: A case report
title_full Extrapulmonary bronchogenic cyst: A case report
title_fullStr Extrapulmonary bronchogenic cyst: A case report
title_full_unstemmed Extrapulmonary bronchogenic cyst: A case report
title_short Extrapulmonary bronchogenic cyst: A case report
title_sort extrapulmonary bronchogenic cyst: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10445448/
https://www.ncbi.nlm.nih.gov/pubmed/37603914
http://dx.doi.org/10.1016/j.ijscr.2023.108706
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