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The Journal of Thoracic and Cardiovascular Surgery, Vol 109, Issue 5 1003-1010, Copyright © 1995 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
NOTE: The fulltext of this article is not available online.
M. E. Ribet, M. C. Copin and B. Gosselin
During a 25-year period 69 patients whose ages ranged from 1 day to 64
years were treated for bronchogenic cyst of the mediastinum. The
male-to-female sex ratio was 1:0.76. The cysts were symptomatic in 63.7%,
compressive in 43.4%, and life threatening in 2.8% of cases. Symptoms and
signs of compression were more frequent in infants and children than in
adults. Such symptoms and signs were more dependent on the location of the
cyst than on its volume. The preoperative diagnosis was wrong in 16% of
cases. The cysts were approached through thoracotomy in 67 cases, including
one conversion from thoracoscopy, and through cervicotomy and
mediastinoscopy in one case each. The cysts opened into the respiratory
tract in five cases. No communication with the esophageal lumen was
observed. The cystic contents were apparently infected in three cases, but
samples remained sterile at culture. There was one hospital death caused by
a centrally located compressive cyst that was undiagnosed at thoracotomy.
The postoperative morbidity rate was 13.4%. There were no further symptoms
after operation in children, but five adults reported continuing pain or
dyspnea. Resection of bronchogenic cysts is recommended because of
uncertainties in diagnosis and in evolution.
JOURNAL ARTICLE
Bronchogenic cysts of the mediastinum
University of Lille, France.
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