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Bronchogenic Cyst
Aletta Ann Frazier, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Definitions

                • Bronchogenic cyst (BC)
                  • Abnormal ventral foregut bud with resultant discrete fluid-filled pouch (26- to 40-days gestation)
                  • Most common congenital foregut duplication cyst (60%)
                • Other foregut cysts
                  • Esophageal duplication cyst, neurenteric cyst
                • Other thoracic congenital cystic lesions
                  • Lymphatic: Lymphangioma
                  • Mesothelial: Pericardial cyst, mesothelial cyst
                  • Thymopharyngeal duct: Congenital thymic cyst
                  • Leptomeningeal: Meningocele

              IMAGING

              • General Features

                • Radiographic Findings

                  • Fluoroscopic Findings

                    • CT Findings

                      • MR Findings

                        • Ultrasonographic Findings

                          • Imaging Recommendations

                            DIFFERENTIAL DIAGNOSIS

                              PATHOLOGY

                              • General Features

                                • Gross Pathologic & Surgical Features

                                  • Microscopic Features

                                    CLINICAL ISSUES

                                    • Presentation

                                      • Demographics

                                        • Natural History & Prognosis

                                          • Treatment

                                            DIAGNOSTIC CHECKLIST

                                            • Consider

                                              • Image Interpretation Pearls

                                                Selected References

                                                1. Fragoso AC et al: Acute respiratory distress due to a bronchogenic cyst submitted to percutaneous drainage followed by thoracoscopic resection. Pulmonology. 27(4):371-3, 2021
                                                2. Zarogoulidis P et al: Bronchogenic cyst or lung cancer. Only biopsy can tell. Respir Med Case Rep. 32:101328, 2021
                                                3. Cohn JE et al: Pediatric bronchogenic cysts: a case series of six patients highlighting diagnosis and management. J Invest Surg. 33(6):568-73, 2020
                                                4. Lat T et al: Infected bronchogenic cyst with left atrial, pulmonary artery, and esophageal compression. Fed Pract. 37(4):190-3, 2020
                                                5. Lateef N et al: Cardiac tamponade as a complication of bronchogenic cyst. Proc (Bayl Univ Med Cent). 34(1):172-4, 2020
                                                6. Lee J et al: Bronchogenic cysts mimicking thymoma in the anterior mediastinum. Respirol Case Rep. 8(5):e00583, 2020
                                                7. Ramireddy K et al: Bronchogenic cyst presenting as acute pericarditis. Cureus. 12(6):e8874, 2020
                                                8. Jeung MY et al: Imaging of cystic masses of the mediastinum. Radiographics. 22 Spec No:S79-93, 2002
                                                9. McAdams HP et al: Bronchogenic cyst: imaging features with clinical and histopathologic correlation. Radiology. 217(2):441-6, 2000
                                                10. Burke A et al: Practical Thoracic Pathology: Diseases of the Heart, Lung and Thymus. Wolters Kluwer, 2017
                                                Related Anatomy
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                                                Related Differential Diagnoses
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                                                References
                                                Tables

                                                Tables

                                                KEY FACTS

                                                • Terminology

                                                  • Imaging

                                                    • Top Differential Diagnoses

                                                      • Pathology

                                                        • Clinical Issues

                                                          • Diagnostic Checklist

                                                            TERMINOLOGY

                                                            • Definitions

                                                              • Bronchogenic cyst (BC)
                                                                • Abnormal ventral foregut bud with resultant discrete fluid-filled pouch (26- to 40-days gestation)
                                                                • Most common congenital foregut duplication cyst (60%)
                                                              • Other foregut cysts
                                                                • Esophageal duplication cyst, neurenteric cyst
                                                              • Other thoracic congenital cystic lesions
                                                                • Lymphatic: Lymphangioma
                                                                • Mesothelial: Pericardial cyst, mesothelial cyst
                                                                • Thymopharyngeal duct: Congenital thymic cyst
                                                                • Leptomeningeal: Meningocele

                                                            IMAGING

                                                            • General Features

                                                              • Radiographic Findings

                                                                • Fluoroscopic Findings

                                                                  • CT Findings

                                                                    • MR Findings

                                                                      • Ultrasonographic Findings

                                                                        • Imaging Recommendations

                                                                          DIFFERENTIAL DIAGNOSIS

                                                                            PATHOLOGY

                                                                            • General Features

                                                                              • Gross Pathologic & Surgical Features

                                                                                • Microscopic Features

                                                                                  CLINICAL ISSUES

                                                                                  • Presentation

                                                                                    • Demographics

                                                                                      • Natural History & Prognosis

                                                                                        • Treatment

                                                                                          DIAGNOSTIC CHECKLIST

                                                                                          • Consider

                                                                                            • Image Interpretation Pearls

                                                                                              Selected References

                                                                                              1. Fragoso AC et al: Acute respiratory distress due to a bronchogenic cyst submitted to percutaneous drainage followed by thoracoscopic resection. Pulmonology. 27(4):371-3, 2021
                                                                                              2. Zarogoulidis P et al: Bronchogenic cyst or lung cancer. Only biopsy can tell. Respir Med Case Rep. 32:101328, 2021
                                                                                              3. Cohn JE et al: Pediatric bronchogenic cysts: a case series of six patients highlighting diagnosis and management. J Invest Surg. 33(6):568-73, 2020
                                                                                              4. Lat T et al: Infected bronchogenic cyst with left atrial, pulmonary artery, and esophageal compression. Fed Pract. 37(4):190-3, 2020
                                                                                              5. Lateef N et al: Cardiac tamponade as a complication of bronchogenic cyst. Proc (Bayl Univ Med Cent). 34(1):172-4, 2020
                                                                                              6. Lee J et al: Bronchogenic cysts mimicking thymoma in the anterior mediastinum. Respirol Case Rep. 8(5):e00583, 2020
                                                                                              7. Ramireddy K et al: Bronchogenic cyst presenting as acute pericarditis. Cureus. 12(6):e8874, 2020
                                                                                              8. Jeung MY et al: Imaging of cystic masses of the mediastinum. Radiographics. 22 Spec No:S79-93, 2002
                                                                                              9. McAdams HP et al: Bronchogenic cyst: imaging features with clinical and histopathologic correlation. Radiology. 217(2):441-6, 2000
                                                                                              10. Burke A et al: Practical Thoracic Pathology: Diseases of the Heart, Lung and Thymus. Wolters Kluwer, 2017