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At least 19 recordsLinked to original sources

[A case report of a paraesophageal bronchogenic cyst and an esophageal cyst].

There are relatively few paraesophageal bronchogenic and esophageal cysts in mediastinal tumors. It is often difficult to distinguish between these cysts. Case 1: 11 year old, male with no symptoms. An abnormal tumor shadow was revealed by chest roentgenogram. Before operating, CT, MRI and other laboratory tests were suggested that the tumor was neurogenic. A cyst with a pedicle connected to the esophageal muscle layer was found during the operation. Pathological examination confirmed a bronchogenic cyst lined with cartilage. Case 2: 38 year old female with epigastralgia. Upper gastrointestinal series revealed that the thoracic esophagus was smoothly compressed from the outside. CT and MRI showed a well-defined cystic mass in the posterior mediastinum. The cyst bordered the esophagus, but there was no direct communication between them. The pathological findings showed the presence of a double layer of smooth muscle without cartilage which was diagnosed as an esophageal cyst.

Adolescent↗

[A bronchogenic cyst of the esophageal wall--a case report and differential diagnosis from an esophageal cyst].

A 25-year-old man underwent extirpation of a cystic mass of the esophageal wall. It proved to be an unilocular cyst surrounded by a pseudo-stratified, ciliated columnar epithelium with occasional goblet cells. Outside of the epithelium, a smooth muscle layer was seen and a small foci of seromucous glands were scattered in the wall. Electron microscopic observations of the epithelial layer revealed 5 types of the cells: ciliated columnar cells, mucous cells, brush cells, intermediate cells, and basal cells. Our results suggest that electron microscopic observations are useful for distinguishing the bronchogenic cyst from the esophageal cyst. Nine cases of para-esophageal bronchogenic cysts that have been reported in Japan also are briefly reviewed.

Adult↗

Esophageal cyst--a case report.

Mediastinal cysts are rare and classified into thymic cysts, bronchogenic cysts, enteric cysts, pericardial cysts, lymphatic cysts and other rare types. We describe a case of foregut cyst of esophageal type in a 22 day old male infant. The CT scan showed a cystic lesion. Excised cyst was bilocular and was filled with clear fluid. Microscopically, the cyst was lined by columnar epithelium with well formed lamina propria and double layered muscularis. In view of presence of double layer of muscularis and absence of gastric glands, intestinal epithelium or cartilage, it was classified as esophageal cyst. We report this case of esophageal cyst because of its rarity.

Epithelium↗

[Intramural bronchogenic esophageal cyst: an uncommon event in esophageal surgery].

Intramural bronchogenic cysts of the esophagus are uncommon. These benign esophageal tumors result from a wrong cleavage of the primitive gut in the 4 weeks old embryo. Symptoms are often absent or atypical. By roentgenography and esophagoscopy, the diagnosis of benign tumor can be made. Even CT-scan can't give absolute certainty about the exact nature of the lesion. An exploratory thoracotomy, with enucleation of the tumor, is needed in all cases for definite diagnosis and treatment. The cysts are lined by columnar ciliated epithelium of the respiratory type. The presence of hyaline cartilage within the wall of the cyst allows to make the difference for sure between an esophageal cyst of bronchogenic origin and a cyst of enterogenous origin.

Bronchogenic Cyst↗

[The esophageal cyst--a rare congenital abnormality].

Esophageal cysts are among the embryonic malformations of the gastrointestinal tract. They develop from persisting diverticulum-like evaginations of the embryonic esophagus. The esophageal cyst is usually asymptomatic and is frequently diagnosed as an incidental finding. Since, however, a clear differentiation from malignancies is not possible with conventional diagnostic procedures. Surgical treatment is advisable in these cases.

Esophageal Cyst↗

Isolated intra-abdominal esophageal cyst. Case report and review of the literature.

We describe the first case of an isolated intra-abdominal esophageal cyst. The cyst was unilocular, smooth-surfaced, and attached to the superior border of the pancreas, and it contained clear mucoid material. The gross and in situ features most closely resemble four previously reported cases of isolated intra-abdominal bronchogenic cyst. Histologically, the cyst contained a simple and pseudostratified, ciliated, mucus-secreting, columnar epithelium and a wall composed of two distinct layers of smooth muscle. Both bronchogenic cysts and esophageal cysts may have ciliated epithelium; however, the presence of two smooth-muscle layers, along with the absence of cartilage or respiratory glands, allows for a definitive diagnosis of esophageal cyst.

Bronchogenic Cyst↗

Congenital esophageal cysts--two cases in adult patients.

Esophageal cysts are a rare clinicopathological condition. They usually cause respiratory symptoms in children, while they are often asymptomatic in adults. Two cases of esophageal cysts in adults, recently diagnosed and treated in our department, are reported. In the 1st case (a 52 year-old woman) dysphagia was the main symptom. In the 2nd one (a 39 year-old woman) the patient was asymptomatic. Both were surgically excised by enucleation, with no post-operative complications. The histological study showed both cysts to be lined with ciliated cylindrical epithelium, and they were therefore considered to be congenital. Smooth muscle was only seen in the cyst wall in the 2nd case, but it was not organized in 2 layers, as is typical of duplication cysts. Cartilage or respiratory glands, the pathognomonic features of bronchogenic cysts, were not identified in either of them. Therefore, the diagnosis was inclusion cysts in both cases.

Adult↗

[Esophageal cysts].

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Cysts↗

[Bronchogenic esophageal cysts in the adult. Four cases].

Bronchogenic oesophageal cysts possess a mucosa of the airway type but are unconnected to the tracheobronchial tree; they are in close anatomical relation with the oesophageal wall. These characteristics are explained by the fact that the respiratory and digestive tract share the same embryonic development. Four cases of bronchogenic oesophageal cyst are reported, and 21 well-documented cases from the literature are reviewed. The lesion is extremely rare in adults, often complicated and responsible for gastrointestinal, respiratory and sometimes even cardiac symptoms. Its features at radiology, endoscopy and computerized tomography are suggestive of the diagnosis. Treatment consists of excision by enucleation. Excision must be complete for recurrences to be avoided.

Adult↗

[Clinicopathologic assessment of esophageal cysts--a report of 8 cases].

We experienced 8 cases of esophageal cysts on between January, 1965 and March, 1989. During the same period, 320 cases of mediastinal tumors were operated in our department, and esophageal cysts were 2.5% of these cases. They were 7 males and 1 female, and ranged in age from 5 to 51 (mean 29.9) years. The cysts were located in the right in 6 and in the left in 2, and in the upper third of the esophagus in 1, middle third in 3 and lower third in 2 cases. A correct preoperative diagnosis was made in only 1 case. The definite diagnoses were not obtained from thoracic CT scans and esophagography. We tried transesophageal ultrasonic endoscopy in the recent 2 cases, and could diagnosed in 1 case as a cyst in the esophageal wall. The another case, we could not diagnose, was a cyst attached to the esophageal wall by a muscular stalk. We experienced 2 cases of post operative bleedings, so we must be careful of hemostasis of the muscular layers after enucleation of the cysts. Histological examinations of the cysts showed ciliated columnar epithelium in all cases. Cartilage were observed (bronchogenic cysts) in 4 patients (50%) and two muscle layers were observed (duplication cysts) in 4 other patients (50%). But 2 cases of bronchogenic cysts had two muscular layers, 1 case of them was well-defined. And 1 case of duplication cyst had poor two muscular layers. We cannot divide clearly the esophageal cysts into bronchogenic cyst or duplication cyst, in the point of having cartilage and double muscle layers.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

Congenital esophageal cysts in adults.

Sixteen adult patients with congenital esophageal cysts were operated on between 1957 and 1979. Preoperatively, 7 patients (44%) were asymptomatic and the cyst was found incidentally on a routine chest roentgenogram. Esophageal symptoms were present in only 3 patients (19%), whereas most symptomatic patients had precordial sensations or arrhythmias. A correct preoperative diagnosis was made in only 1 patient. After enucleation of the cyst, preoperative symptoms were alleviated in all patients and short-term results were excellent. However, long-term follow-up 13.2 +/- 5.6 (+/- standard deviation) years later revealed moderate reflux in 9 (64%) of the surviving 14 patients. During esophagoscopy, macroscopic esophagitis was found in 12 (92%) of 13 patients. On histological examination of specimens obtained by forceps biopsy, esophagitis was present in 10 (77%) of 13 patients and included Barrett esophagus in 2. We conclude that, despite excellent early results, long-term follow-up of patients who undergo operation for congenital esophageal cysts is indicated because of the increased incidence of reflux esophagitis.

Adolescent↗

Congenital cystic adenomatoid malformation of the lung with an esophageal cyst: report of a case.

The authors report the case of a 7-month-old girl found to have both congenital cystic adenomatoid malformation of the lung (CCAM) and esophageal cyst. She suffered repeated episodes of pneumonia and exhibited signs of respiratory distress on admission to our hospital. Chest radiography and magnetic resonance imaging (MRI) showed 2 different kinds of cystic lesions. Resection of the lower lobe of the right lung and excision of the posterior mediastinal cyst were performed. Histologic examination showed Stocker type I CCAM and esophageal cyst. Coexistence of both CCAM and esophageal cyst is extremely rare. The authors speculate that the pathologies of this case originated from a regional disturbance of common embryologic origin during 2 different phases of lung-bud foregut malformations.

Abnormalities, Multiple↗

Imaging of congenital esophageal cysts in adults.

The radiologic imaging of esophageal cysts (EC) in adults is described. These rare cysts, often detected incidentally on routine chest radiographs, seldom produce symptoms, but they may cause precordial sensations, arrhythmias, and dysphagia. They may also bleed and become malignant. As surgical excision is the treatment of choice, the preoperative diagnosis must be exact. For this, magnetic resonance imaging (MRI) or endoscopic ultrasound seem to be the imaging methods of choice even if a plausible diagnosis can be advanced on computed tomography (CT). Chest x-ray or esophagus roentgenogram have little differential diagnostic value.

Adult↗