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J Thorac Cardiovasc Surg 2008;136:227-228
© 2008 The American Association for Thoracic Surgery
Brief Communication |
Division of Thoracic Surgery, Department of Cardiothoracic Surgery, New York Presbyterian Hospital, Weill Medical College of Cornell University, New York, NY
Received for publication December 9, 2007; accepted for publication February 5, 2008. * Address for reprints: Paul C. Lee, MD, Division of Thoracic Surgery, Department of Cardiothoracic Surgery, New York Presbyterian Hospital, Medical College of Cornell University, New York, New York 10021. (Email: pc19001@med.cornell.edu).
| The first 20% of the full text of this article appears below. |
Bronchogenic cysts are congenital lesions of the embryonic foregut. First described in 1859 by Meyer,1
these anomalies are believed to arise from supernumerary or abnormal budding of the tracheobronchial tree. These cysts, which often remain asymptomatic, are brought to clinical attention after incidental discovery on chest radiography or owing to complications such as infection, compression, and, rarely, hemorrhage or rupture. However, a less widely recognized phenomenon is occult neoplastic disease within the cyst wall. Herein, we describe a case of a carcinoid tumor within the wall of a resected bronchogenic cyst.
Clinical Summary
A 54-year-old woman had shortness of breath and chest tightness for 5 weeks. She reported a history of hypertension, mitral valve prolapse, and basal cell carcinoma of the right thigh. She had a 15 pack-year smoking history but had quit 5 weeks earlier. Results of the physical examination were unremarkable, with no cardiopulmonary abnormalities. Subsequent
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