Timuçin ALAR, Aslı MURATLI

A rare presentation of a bronchogenic cyst: presternal, subcutaneous and 42-year-old man

Bronkojenik kistler genellikle doğumdan hemen sonra veya erken çocukluk döneminde saptanır. Lezyonların büyük ço- ğunluğu mediasten, trakeobronşiyal ağaç boyunca veya akciğer parankiminde bulunur. Kütanöz veya subkütanöz bronkojenik kistler nadir rapor edilmiştir. Olgumuz İngilizce literatürde erişkin yaştaki manubrium sterni üzerinde kist saptanan ikinci hastadır. Cerrahi total eksizyon kesin tedavi yöntemi olup, ince iğne aspirasyonu mukoepidermoid karsinom ve malign melanoma geliştiği bildirildiğinden denenmemelidir.

Bronkojenik kist için nadir bir sunum: Presternal, subkütanöz ve 42 yaşında erkek

Bronchogenic cysts are generally detected shortly after birth or in early childhood. Most lesions are found in the mediastinum, along the tracheobronchial tree or in the lung parenchyma. Cutaneous or subcutaneous bronchogenic cysts are rarely reported. Our patient was the second case in the English literature who had a cyst over the manubrium sterni in adult life. Surgical total excision is the definitive treatment of extrathoracic bronchogenic cysts, needle aspiration management should not be tried because of association with malignant lesions as mucoepidermoid carcinoma and malign melanoma have been reported to arise from them.

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1. Park HS, Son HJ, Kang MJ. Cutaneous bronchogenic cyst over the sternum. The Korean Journal of Pathology 2004; 38: 333-6.
2. Lorenzo MD, Collin PP, Vaillancourt R, Duranceau A. Bronchogenic cyst. J Pediatr Surg 1989; 10: 988-91.
3. Zvulunov A, Amichai B, Grunwald MH, Avinoach I, Halevy S. Cutaneous bronchogenic cyst: delineation of a poorly recognized lesion. Pediatr Dermatol 1998; 15: 277-81.
4. Hameed SM, Chan WK, Neuman GD, Urschel JD. Presternal bronchogenic cyst in an adult. Plast Reconstr Surg 1993; 92: 763-4.
5. Haller JA, Shermeta DW, Donahoo JS, White JJ. Lifethreatening respiratory distress from mediastinal mass in infants. Ann Thorac Surg 1975; 19: 365-70.
6. Gaikwad P, Muthusami JC, Raj JP, Rajinikanth J, John GM. Subcutaneous bronchogenic cyst. Otolaryngol Head Neck Surg 2006; 135: 951-2.
7. Shah SK, Stayer SE, Hicks MJ, Brandt ML. Suprasternal bronchogenic cyst. J Pediatr Surg 2008; 43: 2115-7.
8. Ustundag E, Iseri M, Keskin G, Yayla B, Muezzinoglu B. Cervical bronchogenic cysts in head and neck region. J Laryngol Otol 2005; 119: 419-23.
9. Ergin M, Yeğinsu A, Çelik A, Onuk Filiz N. A case of cervical bronchogenic cyst presenting with hoarseness in an adult. Tüberküloz ve Toraks Dergisi 2009; 57: 73-6.
10. Kirkham N. Tumors and cysts of the epidermis. In: Elder D (ed). Levers Histopathology of The Skin. 8th ed. Philadelphia: Lippincott & Raven, 1997: 685-746.
11. Ramon R, Betlloch I, Guijarro J, Banuls J, Alfonso R, Silvestre JF. Bronchogenic cyst presenting as a nodular lesion. Pediatr Dermatol 1999; 16: 285-7.
12. Tanaka M, Shimokawa R, Matsubara O, Aoki N, Kamiyama R, Kasuga T, et al. Mucoepidermoid carcinoma of the thymic region. Acta Pathol Jpn 1982; 32: 703-12.
13. Tanita M, Kikuchi-Numagami K, Ogoshi K, Suzuki T, Tabata N, Kudoh K, et al. Malignant melanoma arising from cutaneous bronchogenic cyst of the scapular area. J Am Acad Dermatol 2002; 46 (2 Suppl): S19-S21.