Bronchogenic cyst: Clinical course from antenatal diagnosis to postnatal thoracoscopic resection

Purpose: The purpose of this study was to describe an approach to surgical management of bronchogenic cysts based on the natural course observed from the time of antenatal screening to surgical resection in patients treated at our institution and reported in the literature. Materials and Methods: We...

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Bibliographic Details
Published in:Journal of minimal access surgery 2013-01, Vol.9 (1), p.25-28
Main Authors: Maurin, Sophie, Hery, Géraldine, Bourliere, Brigitte, Potier, Alain, Guys, Jean-Michel, Lagausie, Pascal
Format: Article
Language:English
Subjects:
Adenomatoid malformation
antenatal diagnosis
bronchogenic cyst
Care and treatment
Cysts
Diagnosis
Early intervention
Emphysema
fetus
growth
Health aspects
Lung cancer
Medical diagnosis
Medical imaging
NMR
Nuclear magnetic resonance
Original
Patient outcomes
Patients
Pregnancy
Pulmonary arteries
Surgery
Thoracoscopy
Ultrasonic imaging
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Summary:Purpose: The purpose of this study was to describe an approach to surgical management of bronchogenic cysts based on the natural course observed from the time of antenatal screening to surgical resection in patients treated at our institution and reported in the literature. Materials and Methods: We retrospectively reviewed the clinical features of all children presenting bronchogenic cyst diagnosed antenatally from 2007 to 2010. A total of six children were included. Results: Antenatal diagnosis was accurate in 62.5% of cases. In the first year of life, the size of the cyst remained stable in four patients, doubled in one, and increased 30% within six months in one. The indication for surgery was emphysema of the left bronchus in two patients and rapid growth in two patients. One patient is still awaiting surgery. Conclusion: Bronchogenic cysts grow slowly in the first months of life, but growth is exponential even in the absence of complications. We recommend complete resection before the age of two years to prevent infectious complications and facilitate surgery.
ISSN:0972-9941
1998-3921
DOI:10.4103/0972-9941.107132