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{{Bronchogenic cyst}}
{{Bronchogenic cyst}}
{{CMG}}''' Associate Editor:''' {{CZ}}
{{CMG}}''' Associate Editor:''' {{JE}}  


==Overview==
{{SK}} Bronchial cyst


While '''bronchogenic cysts''' are the most common cystic lesion of the mediastinum, their overall incidence is rare.
==[[Bronchogenic cyst overview|Overview]]==


==Pathophysiology and etiology==
==[[Bronchogenic cyst historical perspective|Historical Perspective]]==
Bronchogenic cysts originate from anomalous development of the ventral foregut and can be found throughout the tracheoesophageal distribution including perihilar or intraparenchymal areas. they are usually single but may be multiple.


The most common location to find the anomaly is in the carina. The rarest locations include the interatrial septum, neck, abdomen, and retroperitoneal space.
==[[Bronchogenic cyst classification|Classification]]==


If the cyst compresses a vital respiratory or cardiac structure, it can be symptomatic and life threatening.
==[[Bronchogenic cyst pathophysiology|Pathophysiology]]==


==Diagnosis==
==[[Causes]]==
===Symptoms===
The majority of cases are asymptomatic, but some infants can present with respiratory distress, particularly if the cysts is located near the carina.


===Chest X ray===
==[[Differentiating Bronchogenic cyst from other Diseases|Differentiating Bronchogenic cyst from other Diseases]]==
The cyst may be identified on a routine chest x ray.


===CT===
==[[Bronchogenic cyst Epidemiology and Demographics| Epidemiology and Demographics]]==


<gallery>
==[[Bronchogenic cyst risk factors|Risk Factors]]==
Image:


Bronchogenic-cyst-001.jpg
==[[Bronchogenic cyst screening|Screening]]==


Image:
==[[Bronchogenic cyst natural history, complications and prognosis|Natural History, Complications and Prognosis]]==


Bronchogenic-cyst-002.jpg
==Diagnosis==
[[Bronchogenic cyst Diagnostic Study of Choice|Diagnostic Study of Choice]] | [[Bronchogenic cyst History and Symptoms|History and Symptoms]] | [[Bronchogenic cyst Physical Examination|Physical Examination]] | [[Bronchogenic cyst Laboratory Findings|Laboratory Findings]] | [[Bronchogenic cyst electrocardiogram|Electrocardiogram]] |  [[Bronchogenic cyst X-ray|X-ray]] | [[Bronchogenic cyst Electrocardiography and ultrasound|Electrocardiography and ultrasound]] | [[Bronchogenic cysts CT|CT]] | [[Bronchogenic cyst MRI|MRI]] |  [[Bronchogenic cyst Ultrasound|Ultrasound]] |  [[Bronchogenic cyst Other imaging findings|Other imaging findings]] | [[Bronchogenic cyst Other Diagnostic Studies|Other Diagnostic Studies]]


</gallery>
==Treatment==
[[Bronchogenic cyst medical therapy|Medical Therapy]] | [[Bronchogenic cyst intervention|Intervention]] | [[Bronchogenic cyst surgery|Surgery]] | [[Bronchogenic cyst primary prevention|Primary Prevention]] | [[Bronchogenic cyst secondary prevention|Secondary Prevention]] | [[Bronchogenic cyst cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Bronchogenic cyst future or investigational therapies|Future or Investigational Therapies]]


===Pathological Findings===
==Case Studies==
 
[[Bronchogenic cyst case study one|Case#1]]
Images shown below are courtesy of Professor Peter Anderson DVM PhD and published with permission. [http://www.peir.net © PEIR, University of Alabama at Birmingham, Department of Pathology]
 
<div align="left">
<gallery heights="175" widths="175">
Image:Bronchogenic cyst 1.jpeg|Lower Respiratory Tract: Bronchogenic cysts are grossly nondescript, usually unilocular cavities containing mucus or mucopurulent material with a wall that varies in thickness and may contain cartilage.
Image:Bronchogenic cyst 2.jpeg|Lower Respiratory Tract: Bronchogenic cysts are grossly nondescript, usually unilocular cavities containing mucus or mucopurulent material with a wall that varies in thickness and may contain cartilage.
</gallery>
</div>


 
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{{WikiDoc Sources}}
<gallery heights="175" widths="175">
[[CME Category::Pulmonology]]
Image:Bronchogenic cyst 3.jpeg|Lower Respiratory Tract: Intrathoracic bronchogenic cyst; Histologically, smooth muscle bundles, minor salivary gland type tissue, and cartilage can be seen in the wall of the cyst.
Image:Bronchogenic cyst 4.jpeg|Lower Respiratory Tract: Intrathoracic bronchogenic cyst; The lining is typically pseudostratified ciliated columnar epithelium which may show foci of squamous metaplasia at sites of inflammation (arrow).
</gallery>
</div>
 
 
<div align="left">
<gallery heights="175" widths="175">
Image:Bronchogenic cyst 5.jpeg|Lower Respiratory Tract: Bronchogenic cyst; There is a cyst lined by bronchiolar epithelium and thick fascicles of smooth muscle in the wall. Islands of cartilage and submucosal salivary glands are lacking and the designation "foregut cyst consistent with bronchogenic cyst" might be more appropriate.
Image:Bronchogenic cyst 6.jpeg|Lower Respiratory Tract: Bronchogenic cyst; There is a cyst lined by bronchiolar epithelium and thick fascicles of smooth muscle in the wall. Islands of cartilage and submucosal salivary glands are lacking and the designation "foregut cyst consistent with bronchogenic cyst" might be more appropriate.
</gallery>
</div>
 
 
<div align="left">
<gallery heights="175" widths="175">
Image:Bronchogenic cyst 7.jpeg|Lower Respiratory Tract: Bronchogenic cyst; There is a multiloculated cyst lined by bronchiolar epithelium. A small island of cartilage is present at the upper right. 
Image:Bronchogenic cyst 8.jpeg|Heart-Great Vessels: Bronchogenic cyst; This example was removed from the epicardial surface of a 13-year-old.
</gallery>
</div>
 
 
<div align="left">
<gallery heights="175" widths="175">
Image:Bronchogenic cyst 9.jpeg|Heart-Great Vessels: Bronchogenic cyst; The lining cells are cuboidal, and the cysts are surrounded by muscle and may contain underlying seromucous glands. 
Image:Bronchogenic cyst 10.jpeg|Mediastinum: Bronchogenic cyst;  A thin-walled cyst which was present in the posterior mediastinum is distended with slightly cloudy somewhat mucinous fluid. 
</gallery>
</div>
 
 
<div align="left">
<gallery heights="175" widths="175">
Image:Bronchogenic cyst 11.jpeg|Mediastinum: Bronchogenic cyst; The inner surface is smooth and trabeculated in areas. 
Image:Bronchogenic cyst 12.jpeg|Mediastinum: Bronchogenic cyst; The cyst is lined by pseudostratified ciliated columnar epithelial cells and the wall contains accessory glands, layers of smooth muscle, and cartilage.
Image:Bronchogenic cyst 13.jpeg|Mediastinum: Bronchogenic cyst; The cyst is lined by pseudostratified ciliated columnar epithelial cells and the wall contains accessory glands, layers of smooth muscle, and cartilage.
</gallery>
</div>
 
==References==
{{reflist|2}}


[[Category:Cardiology]]
[[Category:Cardiology]]
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[[Category:Gastroenterology]]
[[Category:Gastroenterology]]
[[Category:Pediatrics]]
[[Category:Pediatrics]]
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{{WikiDoc Sources}}

Latest revision as of 17:28, 14 July 2020

Bronchogenic cyst
DiseasesDB 1707
MeSH D009404

Bronchogenic cyst Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor: Joanna Ekabua, M.D. [2]

Synonyms and keywords: Bronchial cyst

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Bronchogenic cyst from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice | History and Symptoms | Physical Examination | Laboratory Findings | Electrocardiogram | X-ray | Electrocardiography and ultrasound | CT | MRI | Ultrasound | Other imaging findings | Other Diagnostic Studies

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Medical Therapy | Intervention | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

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Case#1


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