Bronchogenic cysts treated with the transcervical approach

Korean Journal of Head & Neck Oncology 2017;33(2):75-79.
Published online November 30, 2017.

Jong Hoon Song;Ki Hwan Hong;Yong Tae Hong;Eun Ji Kim

경부절게를 통한 기관지원성낭종 치료

송종훈;홍기환;홍용태;김은지

Abstract

Bronchogenic cysts are congenital malformations of the bronchial tree, a type of bronchopulmonary foregut malformation. The presentation of the bronchogenic cyst is variable, making pre-operative diagnosis difficult. They aremostly asymptomatic orarefound incidentally when the chest is imaged. They can present as lower neck massesor mediastinal masses that may enlarge. They cause mass effect due to local compression and may result in tracheobronchial obstruction leading to air trapping and respiratory distress. The treatment is somewhat controversial, and in general,these lesions are treated using the transcervical or transbronchial approach. When these cysts arelocalized in the upper mediastinum, it may be possible to removethemusing the transcervical approach. In our three cases, the patientscomplained of mild dysphagia, foreign body sensation, and dyspnea. We report three cases of a large bronchogenic cyst in the lower neck and the upper mediastinum treated using the transcervical approach.

Key Words: Bronchogenic cyst, Dysphagia, Neck mass