Bronchogenic and pericardial cysts: Resect or observe

Kemp H. Kernstine, Peace Eneh

Research output: Chapter in Book/Report/Conference proceedingChapter

2 Scopus citations

Abstract

Bronchogenic cysts are the most common cystic lesions in the mediastinum representing 15-25% of all mediastinal masses.1 They are the most common congenital foregut cyst and comprise 60% of mediastinal cysts. 2 The prevalence of bronchogenic cysts is 1:68,000 admissions. 3 They arise from abnormal budding of the tracheobronchial tree4 and, thus, are found along the anterior aspect of the esophagus, around the trachea, and in the mediastinum, hilum and lung. Depending upon when the cyst separates from the developing foregut it can be found in the neck, along the vertebrae, pericardium, subdiaphragmatic space and in other sites. Bronchogenic cysts can develop infection, compress and/or irritate adjacent vital structures and spontaneously hemorrhage. Fistulae have been reported to be as high as 43% in symptomatic patients,5 accounting for 53% of the major complications associated with cysts.6 Fifty-five percent of bronchogenic cysts have significant pericystic adhesions to mediastinal structures7; their presence makes surgical resection difficult.

Original languageEnglish (US)
Title of host publicationDifficult Decisions in Thoracic Surgery (Second Edition)
Subtitle of host publicationAn Evidence-Based Approach
PublisherSpringer London
Pages461-469
Number of pages9
ISBN (Print)9781849963640
DOIs
StatePublished - Dec 1 2011

ASJC Scopus subject areas

  • Medicine(all)

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    Kernstine, K. H., & Eneh, P. (2011). Bronchogenic and pericardial cysts: Resect or observe. In Difficult Decisions in Thoracic Surgery (Second Edition): An Evidence-Based Approach (pp. 461-469). Springer London. https://doi.org/10.1007/978-1-84996-492-0_54