Title: Completely Air Filled Bronchogenic Cyst: A Rare Case
Authors: Th. Chito Singh, Guruprasad N, Sachin Tribhuwan, Amongla Imchen, Kalpesh Saswade
DOI: https://dx.doi.org/10.18535/jmscr/v5i3.172
Abstract
INTRODUCTION
Bronchogenic cysts are formed due to abnormal budding of bronchial tree. They are lined by respiratory epithelium. They are not air filled as they do not commonly communicate with the bronchial tree. They are filled with fluid containing proteins, blood products and calcium oxalate.
One third are located in the lung parenchyma and two third are located in the mediastinum. 40 to 50% of all congenital cysts in the thorax are bronchogenic cysts. On CT scans they appear as round mass with attenuation similar to soft tissue or water.
Symptoms arise only when the cyst compresses surrounding structures. Most cysts are asymptomatic.
We present a case of a young lady who presented with an incidentally detected cavitory lesion on routine health checkup. Bronchogenic cysts which are completely air filled are rare and need treatment if very large or causing symptoms.
Keywords: Bronchogenic cyst, respiratory epithelium, intra-parenchymal, intra- pulmonary.
References
1. Stoerk O. Ueber angeborene blasige mis-bildung der lung. Wien Klin Wochenschr 1897; 10:25–31
2. Chi’in KY, Tang MY. Congenital adenomatoid malformation of one lobe of a lung with general anasarca. Arch Pathol 1949; 48:221–229
3. Van Dijk C, Wagenvoort CA. The various types of congenital adenomatoid malformation of the lung. J Pathol 1973; 110:131–134
4. Stocker JT, Madwell JE, Drake RM. Congenital cystic adenomatoid malformation of the lung. Classification and morphologic spectrum. Hum Pathol 1977; 8:155–77
5. Duncombe GJ, Dickeson JE, Kikiros CS. Prenatal diagnosis and management of congenital cystic adenomatoid malformation of the lung. Am J Obstet Gynecol 2002; 187:950–954
6. Laberge JM, Flageole H, Pugash D, et al. Outcome of the prenatally diagnosed congenital cystic adenomatoid lung malformation; a Canadian experience. Fetal Diagn Ther 2001; 16:178–186
7. Katzenstein AA, Askin FB: Surgical pathology of non neoplasticlung disease. In Philadelphia 2nd edition. WB Saunders; 1990:468-506.
8. Luck SR, Reynolds M, Raffensberger JG: Congenital bronchopulmonary malformations. Curr Probl Surg 1986, 23:245-314.
9. Parikh DH, Crabbe D, Auldist A, Rothenberg S, editors. Pediatric Thoracic Surgery. Springer Science & Business Media; 2009 Mar 26
10. Stocker JT, Madwell JE, Drake RM. Congenital cystic adenomatoid malformation of the lung. Classification and morphologic spectrum. Hum Pathol 1977; 8:155–77
11. Stocker JT. Congenital pulmonary malformation: a new name and expanded classification of congenital cystic adenomatoid malformations of the lung. Histopathology 2002; 41(Suppl):424–31
12. Stocker JT. Congenital and developmental diseases. In: Dail DH, Hammer SP (Editors). Pulmonary Pathology, 2nd edition. Springer-Verlag, New York, 1994.
13. Andrade CF, Ferreira HP, Fischer GB. Congenital lung malformations. J Bras Pneumol 2011; 37:259‑71.
14. Stocker JT. Congenital pulmonary airway malformation: A new name for and an expanded classification of congenital cystic adenomatoid malformation of the lung. Histopathol 2002; 41(Suppl2):424‑31.
15. Shanmugam G, MacArthur K, Pollock JC. Congenital lung malformations‑ antenatal and postnatal evaluation and management. Eur J CardiothoracSurg 2005; 27:45‑52.
16. Miller JA, Corteville JE, Langer JC. Congenital cystic adenomatoidmalformation in the fetus: natural history and predictors of outcome. J PediatrSurg 1996; 31:805-808.
17. Stocker JT, Madewell JE, Drake RM. Congenital cystic adenomatoid malformation of the lung. Classification and morphologic spectrum. Hum Pathol 1977; 8:155‑71.
18. Luján M, Bosque M, Mirapeix RM, Marco MT, Asensio O, Domingo C. Late‑onset congenital cystic adenomatoid malformation of the lung. Embryology, clinical symptomatology, diagnostic procedures, therapeutic approach and clinical follow‑up. Respiration 2002; 69:148‑54.