misc{388595, author = {Tournoy, Kurt and ROMBAUT, B and GOEMINNE, H and Praet, Marleen and Vermassen, Frank and Gosselin, Robert and Van Meerbeeck, Jan}, issn = {0025-7931}, language = {eng}, number = {1}, pages = {98--99}, publisher = {KARGER}, series = {RESPIRATION}, title = {The sound of the parasite. diagnosing mediastinal cysts with endoscopic ultrasound techniques}, url = {http://dx.doi.org/1854/9324}, volume = {75}, year = {2008 ...
66 year old African American female with incidental finding on an electron beam CT examination. Patient had a remote history of breast cancer 18 years ago with a left mastectomy.
Pericardial cysts occur at the rate of 1 person per 100,000 [1]. They result from failure of fusion of one of the mesenchymal lacunae that form the pericardial sac. Seventy five percent have no associated symptoms, and are usually found incidentally during routine chest x-ray or echocardiography. Seventy percent are located at the right costophrenic angle, 22% on the left and the remaining in the posterior or anterior superior mediastinum [2]. It is unknown if the size or position of the cyst corresponds to higher rates of complications. Pericardial cysts are usually asymptomatic, and are usually found incidentally on routine chest x-rays. Episodes of chest pain, tachycardia, persistent cough, cardiac arrhythmias and lower respiratory tract infection have been described. The symptoms can result from the pressure of the cyst on the adjacent organs [3]. Other reported complications include right ventricular outflow obstruction, inflammation and infection, pulmonary stenosis, partial erosion into ...
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Find details on Pericardial cysts in dogs including diagnosis and symptoms, pathogenesis, prevention, treatment, prognosis and more. All information is peer reviewed.
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TY - JOUR. T1 - Non-cardiac thoracic ultrasound in 75 feline and canine patients. AU - Reichle, Jean K.. AU - Wisner, Erik R. PY - 2000/3. Y1 - 2000/3. N2 - The purpose of this study was to describe the ultrasonographic appearance of non-cardiac diseases of the small animal thorax. Ultrasound images from a total of 75 animals (26 cats and 49 dogs) were compared to cytologic, histopathologic, and necropsy findings. Clinical diagnoses included neoplasia of the mediastinum, pleura, or lungs (43); idiopathic mediastinal cyst (3); diaphragmatic or peritoneo-pericardial hernia (4); lung lobe torsion (1); pulmonary eosinophilic infiltrates (1); and idiopathic, chylous, congestive heart failure, or lymphangiectasia associated pleural effusion (14). In the remaining 9 patients, a definitive diagnosis was not obtained. Ultrasound-guided fine needle aspirate was performed in 56 patients; 1 of these also had an ultrasound-guided tissue core biopsy. Of the fine needle aspirates, 51 (91%) were diagnostic. ...
TY - JOUR. T1 - Intraoperative Ultrasound-Guided Excision of Cardiophrenic Lymph Nodes in an Advanced Ovarian Cancer Patient. AU - Moro, Francesca. AU - Uccella, Stefano. AU - Testa, Antonia Carla. AU - Scambia, Giovanni. AU - Fagotti, Anna. PY - 2018/11/1. Y1 - 2018/11/1. N2 - Objective Ovarian cancer is commonly diagnosed at an advanced stage. Complete macroscopic eradication of the disease is associated with improved prognosis. In this setting, the surgical resection of enlarged cardiophrenic lymph nodes (CPLNs) can help to achieve cytoreduction to no gross residual disease. During surgery, CPLN removal is usually performed either via video-assisted thoracic surgery or through a large transdiaphragmatic or subxiphoid incision. In the present case, we propose the use of an intraoperative transdiaphragmatic ultrasound to confirm preoperative imaging and to obtain a precise localization of the suspicious CPLNs. Methods A 50-year-old woman without peritoneal carcinomatosis was diagnosed with ...
A 39-year-old woman was referred with a 3-month history of pleuritic chest discomfort, shortness of breath on exertion, and occasional palpitation and presyncope. Physical examination showed no abnormalities. ECG revealed sinus rhythm. Posteroanterior chest x-ray (Figure 1A) showed a large, rounded, right paracardiac mass. Transthoracic echocardiography showed a cystic mass as large as the heart at the right cardiophrenic angle (Figure 2), interposed between the diaphragm (and the liver), right atrium, and lung. The left ventricular size and function were normal, though some right atrial compression was noted. Contrast computerized tomography scan (Figure 1B) revealed a homogenous right pericardial mass, 10.0×8.0 cm in size, with a density greater than that of the usual simple cyst (Figure 2A), along with a thin capsule suggestive of a pericardial cyst. The patient underwent removal of the cyst, which was attached to the pericardium over a small area (diameter=1.5 cm). She made an uneventful ...
Jonathan Kei, MD, MPH Perm J 2013 Fall;17(4):e149 http://dx.doi.org/10.7812/TPP/13-039 A 50-year-old woman presented to the Emergency Department wit
Dive into the research topics of Clinical significance of enlarged cardiophrenic lymph nodes in advanced ovarian cancer: Implications for survival. Together they form a unique fingerprint. ...
The inferior vena cava (IVC) is usually visible posterior to the posterior border of the heart on the lateral projection. The superior vena cava (SVC) usually forms the right border of the upper supracardiac mediastinum. Distension of the SVC or posterior bulging (see figure below) or visibility of the IVC in the right cardiophrenic angle may indicate increased right atrial pressure.. ...
Fig. 9. Morgagni hernia after abdominal surgery. Preoperative radiograph shows a normal cardiophrenic angle (A, arrow). One year later a mass has appeared in the same location (B, arrow). Enhanced sagittal CT shows herniated abdominal fat (C, asterisk) through a hiatus in the diaphragm. Note the vessels crossing the hiatus (C, red arrow). Looking at the right paracardiac space can be very rewarding, as is shown in the case below, in which an unsuspected intrathoracic rib was discovered (Fig. 10) after having been missed in previous examinations.. ...
The cardiac silhouette is markedly enlarged and rounded, occupying the entire width of the thorax on the d/v projection. The pulmonary vasculature is normal in size, and there is no evidence of interstitial or alveolar pulmonary pattern. The pleural space and mediastinum are normal ...
A 66 year old woman presented in extremis with symptoms and clinical and radiological signs of simultaneous obstruction of superior vena cava and middle lobe of right lung secondary to compression by a massive benign anterior mediastinal cyst. Excision of the cyst at median sternotomy resulted in complete resolution of all symptoms. This report is unusual on account of a) the concomitant presence of superior vena cava and middle lobe syndromes caused by a benign cyst because of its sheer size producing obstruction of these structures and b) the complete resolution of all symptoms and signs after removal of the cyst. Benign anterior mediastinal cysts are unknown to cause either of the two syndromes. To our knowledge, it is the first report of a benign anterior mediastinal cyst causing either superior vena cava syndrome or middle lobe syndrome or both simultaneously. Etiologies of both superior vena cava and middle lobe syndromes are discussed in detail.
MTC is a distinctive thymic lesion that morphologically and pathogenetically differs from congenital thymic cyst. The latter is more common and derived from the third pharyngeal pouch. It is unilocular, thin-walled, and lacks inflammatory processes [3]. In contrast, MTC is always multilocular, and accompanied by inflammation. Its wall is thick and fibrous, with accompanying hemorrhage, reactive lymphoid hyperplasia and it contains usually turbid fluid, as in this case. MTC is believed to be the result of hyperplastic and cystic changes of thymic epithelium in response to an underlying inflammatory process of known or unknown cause [1, 3]. Thus, MTC has been documented in adult and pediatric patients with mediastinal tumors such as teratoma, lymphoma and thymic carcinoma [4, 5] and exceptionally in association with Langerhans cell histiocytosis of the thymus [2]. Additionally, MTC can be encountered in close association with underlying inflammation of thymic parenchyma and was thus described in ...
Bronchogenic mediastinal cysts (BMC) are a rare pathology, accounting for 18% of all primitive mediastinal tumors and represent the most frequent cystic lesions in this anatomic region [1-3].. They represent congenital malformations arising from an abnormal division of the tracheobronchial tree. In relation to the time of separation from the main tracheobronchial tree, the cysts may localize into the lung parenchyma or in the mediastinum, with percentages of 33% and 66%, respectively [4-6].. They are usually unilocular, rarely multilocular. Their wall is represented by a ciliated columnar epithelium lining, cartilage structure and occasionally may contain a mucinoid filling. BMC are usually asymptomatic, and often casually diagnosed. When present, symptoms are usually related to the area of occurrence and include chest pain, cough, dyspnoea, dysphagia, or emoptysis [7, 8].. Complications may occur, including infection, emoptysis, trachea or superior vena cava compression, intracystic ...
Case Reports in Otolaryngology is a peer-reviewed, Open Access journal that publishes case reports and case series in all areas of otolaryngology, including head and neck surgery, facial plastic and reconstructive surgery, maxillofacial surgery, and pediatric otolaryngology.
Figure 3: CECT chest showing a large well circumscribed cystic lesion in left lower hemi-thorax, abutting lateral aspect of pericardial cavity.. Question. What is the diagnosis?. Answer. All imaging studies suggested a large congenital benign pericardial cyst arising from the left cardiac border.. In view of this large pericardial cyst causing local compressive symptoms, cardio-vascular surgical opinion was taken and they suggested for surgical excision of the cyst. Surgical procedure was uneventful with postero-lateral thoracotomy in the 6th intercostal space and complete excision of the cyst measuring 9 cm × 7 cm × 5 cm, containing clear straw-coloured fluid inside. Biochemical analysis of the fluid favoured transudative nature according to Lights criteria (cystic fluid protein was 2.8 g/dL, Lactate dehydrogenase (LDH) was 110 U/L; whereas serum protein was 6.4 g/dL and serum LDH was 190 U/L). Cell count of the fluid was 180/cu.mm with 90% lymphocyte and 10% neutrophil. Histopathological ...
Foregut duplication cysts are developmental anomalies of the bronchopulmonary foregut and are common cystic lesions of the mediastinum. We describe a case of mediastinal foregut duplication cyst with in vivo H-1 MR spectroscopy on a 1.5T magnet showing a large metabolite peak at 2.02 ppm, attributable to N-acetylated compounds, in addition to a smaller peak at 1.33 ppm, considered to represent lipids. In vitro NMR spectroscopy (7.05T) of cyst fluid confirmed the presence of these peaks. In addition; a broad multiplet centered at 3.7 ppm, possibly from various protons of the hexose ring system, was also noted. Chemical analysis of the cyst fluid demonstrated the presence of N-acetylhexosamines, proteins, and lipids: Again, in vitro spectra of pure samples of N-acetylglucosamine and N-acetylgalactosamine were obtained for comparison, which better resolved the N-acetyl peak and the peaks at 3.7 ppm. The mucus secreted by respiratory epithelium and the mucous glands of the foregut cysts contains ...
The thoracic duct cysts located in the supraclavicular region are very rare masses, the etiology of which is not completely known. This article presents the clinical follow-up of a 35-year-old male patient diagnosed with throracic duct cyst situated in the left supraclavicular region and the patients condition is discussed in line with literature. The patient admitted to our clinic with a complaint of a mass in the left supraclavicular region that had appeared six months ago and that had been increasingly growing. A cyst excision under general anesthesia was performed to the patient who was pre-diagnosed with thoracic duct cyst following the radiological evaluation and the needle aspiration biopsy. There were no complications or a recurrence during the six months of postoperative follow-up. ...
A research team from United States reported two cases of gastric duplication cysts with a pseudostratified respiratory epithelium, with emphasis on their immunophenotype and embryogenesis. They explored the possible embryogenesis ...
BioMed Research International is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies covering a wide range of subjects in life sciences and medicine. The journal is divided into 55 subject areas.
Eur J Radiol. 2013 Feb;82(2):316-20. Symptomatic nonfunctioning parathyroid cysts: role of simple aspiration and ethanol ablation. Sung JY1 Eur J Radiol. 2013 Feb;82(2):316-20. A 51-year-old man with PC. Axial US images of a parathyroid cyst with.... More info ...
The mediastinum is the anatomic region medial to the pleural sacs between the sternum, vertebral column, rib 1, and the diaphragm. The mediastinum is further divided into inferior and superior parts by a horizontal plane passing through the sternal angle to the T4-T5 intervertebral disc (Figure 5-1A). The inferior mediastinum is classically subdivided into anterior, middle, and posterior parts. Therefore, the four subregions of the mediastinum are as follows: ...
At operation dermoid cysts of the mediastinum are frequently found to be densely adherent to surrounding structures and often apparently invading them. This tendency is often attributed to infection, though positive cultures from the cyst contents have seldom been obtained. An alternative explanation may be that these characteristics are due to proteolytic enzymes produced in the cyst. A case is reported that would appear to support the latter hypothesis.
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Abstract: Bronchogenic cysts are rare congenital lesions of the bronchial tree which are mostly asymptomatic. Rarely when the size is large it can compress on the adjacent structures in the mediastinum. We report a rare case of 10 month old baby presented with recurrent lower respiratory tract infection, was suspected to have a pericardial cyst on echocardiography. On further imaging it was confirmed to be a large bronchogenic cyst from the carina compressing on the left atrium and the left bronchus causing congenital lobar emphysema of the left lung. In view of compression of the adjacent structures patient was sent for surgery. Though congenital bronchogenic cysts involving pericardium and intracardiac tissues have been reported but mediastinal bronchogenic cysts compressing on left bronchus causing congenital lobar emphysema have rarely been reported. Key words: Bronchogenic cyst, Congenital lobar emphysema.. ...
Bronchogenic cysts are rare congenital anomalies that arise in early gestation as a result of abnormal budding of the developing respiratory system.1 Abnormal bronchi or bronchioles may form large saccular structures that may later form cystic lesions. Bronchogenic cysts predominantly occur in males and are often solitary and rarely multiple. Typically, bronchogenic cysts have ciliated epithelium with cartilage, smooth muscles, and mucus-producing bronchial glands similar to the bronchial walls. Bronchogenic cysts do not have alveolar structures because the abnormal budding occurs before the formation of the alveoli. Their location varies and depends on the embryonic stage of development at which the abnormality happens. Intrathoracic bronchogenic cysts have 2 radiographic classifications based on location: mediastinal and intrapulmonary. Mediastinal bronchogenic cysts account for approximately 20% of all primary mediastinal masses.2 Mediastinal bronchogenic cysts appear as smooth, rounded, ...
Intracardiac cysts are an uncommon occurrence, and intramyocardial cysts are rarer still. Various types of intracardiac cysts have been reported in literature, the most common being parasitic, such as hydatid cysts.1 Other rare cysts include bronchogenic cysts, blood cysts, intracardiac epithelial cysts (occurring in isolation or as part of a congenital polycystic tumor of the atrioventricular node or of a teratoma), and pericardial and epicardial mesothelial cysts. However, no reference to an intramyocardial mesothelial cyst was found in recent literature.. Herein, we describe what we believe to be the first reported case of an intramyocardial mesothelial cyst mimicking a benign cardiac tumor.. Mesothelial cysts are usually congenital, lined by a single layer of mesothelial cells, and they contain clear water-like fluid. Pericardial mesothelial cysts have been described to be more commonly unilocular, as opposed to multilocular.. On echocardiography, cysts are anechoic to hypoechoic. On CT ...
Thymic cyst: a fourth branchial cleft anomaly.: We report a unique case of a fourth branchial cleft cyst found within the thymus of an adult patient. In the lit
Intrathoracic mesothelial cysts almost always arise in the mediastinum, and extramediastinal mesothelial cysts are extremely rare. Here we describe a case of mesothelial cyst derived from the chest wall pleura growing after thoracic surgery. A 63-year-old Japanese woman was referred to our department. She had undergone total hysterectomy for cervical carcinoma and two lung wedge resections for metastatic lung cancer on the upper and lower lobes of her right lung and lower lobe of her left lung. After the thoracic surgery, an intrathoracic chest wall mass was found, which grew gradually. Computed tomography demonstrated a 2.0 × 1.8 cm low-density mass without contrast effect. Magnetic resonance imaging demonstrated a low-intensity mass in T1-weighted imaging and a high-intensity mass in T2-weighted imaging. Thoracoscopic excision of the mass was performed. The cystic mass was thought to be derived from her chest wall and was pathologically diagnosed as mesothelial cyst. Five years after the surgery, she
Mediastinal bronchogenic cysts are encountered relatively often, but in many cases, diagnosis using imaging modalities, is difficult. Early surgical excision of bronchogenic cysts is recommended as a...
Definitive histology of the specimen was infiltrating colloid adenocarcinoma with immunophenotype of enteric adenocarcinoma arising from a benign cystic mucoid lesion compatible with bronchogenic cyst. Immunohistochemical staining was positive for cytokinin 20 and CDX 2, and negative for cytokinin 20 and TTF1. Mediastinal lymph nodes were not affected.. The final diagnosis was enteric adenocarcinoma arising from a bronchogenic cyst. No additional lesions were found on colonoscopy and further abdominal exams. Because no signs of disease dissemination were found, no additional therapy was applied. The patient is alive without recurrence of disease 6 months after the surgery.. Bronchogenic cysts are congenital lesions thought to originate from the primitive ventral foregut,2 and are the result of abnormal budding that pinches off from the tracheal tree in the stage when bronchial buds develop into the primitive of respiratory tree.9,10 Bronchogenic cysts are relatively rare, with a prevalence of ...
TY - JOUR. T1 - Supradiaphragmatic bronchogenic cyst extending into the retroperitoneum. AU - Jo, Won-Min. AU - Shin, Jae Seung. AU - Lee, In Sung. PY - 2006/1/1. Y1 - 2006/1/1. N2 - We experienced a case of bronchogenic cyst located on the left lower pleural space extending into the retroperitoneum in a 33-year-old man with left chest pain. Preoperative imaging studies and operative findings showed a broad-based cystic mass on the left lower posterior pleura and diaphragmatic pleura extending into the retroperitoneal region across the diaphragm. Histologic studies proved this mass to be a bronchogenic cyst.. AB - We experienced a case of bronchogenic cyst located on the left lower pleural space extending into the retroperitoneum in a 33-year-old man with left chest pain. Preoperative imaging studies and operative findings showed a broad-based cystic mass on the left lower posterior pleura and diaphragmatic pleura extending into the retroperitoneal region across the diaphragm. Histologic studies ...
Do You Have Bronchogenic Cyst? Join friendly people sharing true stories in the I Have Bronchogenic Cyst group. Find support forums, advice and chat with groups who share this life experience. A Bronchogenic Cyst anonymous support group with informat...
A bronchogenic cyst is congenital malformation of the foregut which was generally encountered within the mediastinum and detected in pediatric patients with symptoms of infection or compression on vital structures. They are rarely detected in adult population as a neck mass. We have recently experienced one case of bronchogenic cyst as a parathyroid mass in a 50-year-old female. It was incidentally detected by routine neck ultrasonography and interpreted as a parathyroid cyst with hemorrhage preoperatively, but confirmed as a bronchogenic cyst at pathologic examination. We report this case with review of literatures ...
A bronchogenic cyst is an inherited condition in which a person has a cyst in the central area of his or her chest cavity, which...
The video shows laparoscopic enucleation of a bronchogenic cyst of esophagus with endoscopic evaluation. There is discussion in the end. Video by Pablo Omelanczuk,
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Allergic reactions, sexually transmitted infections, and cysts are just a few common culprits for a rash in your nether region. Heres a rundown of what it might be and what to do next.
1] C E Offiah, BSc, FRCS, FRCR and S Twigg, BSc (2011) Lymphocoele of the thoracic duct: a cause of left supraclavicular fossa. The British Journal of Radiology 84 (2011), e27-e30 (PMID: 21257831) [2] Mattila PS, Tarkkanen J, Mattila S (1999) Thoracic duct cyst: a case report and review of 29 cases. Ann Otol Rhinol Laryngol 108(5):505-508 (PMID: 10335715) [3] Lecanu JB, Gallas D, Biacabe B, BonWls P (2001) Lymphocele of the thoracic duct presenting as a left supraclavicular mass: a case report and review of the literature. Auris Nasus Larynx 28:275-277 (PMID: 11489376) [4] Van Sonnenberg E, Wittich GR (1986) Lymphoceles: imaging characteristics and percutaneous management. Radiology 161:593-596 (PMID: 3538133) [5] Moesgaard L, Baerentzen S, Mirz F (2007) Cervical thoracic duct cyst: a differential diagnosis of left supraclavicular swelling. Eur Arch Otorhinolaryngol 264:797-799 (PMID: 17297607) ...
Bronchogenic Cyst (Differential Diagnosis as before). metu_16a_n.jpg: 9.6-year-old boy with symptoms of the airways and a round shadow on the right side at the border of the upper mediastinum in the thorax x-ray. The site close to the trachea and bifurcation (clear longitudinal structure) allows - together with the clinical presentation - the suspicion of a malformation cyst of the bronchogenic type. metu_16b_n.jpg and metu_16c_n.jpg: After the division of the mediastinal pleura a cystic structure is recognizable. It lies between the azygos vein and the superior vena cava to the right of the trachea and bifurcation. The diameter is 3 to 4 cm; leaking out masses of mucus that have been causing a slow growth of the cyst, and the close relation to the airways explain the frequent symptoms and signs of the respiratory organs in bronchogenic cysts. metu_16a_n.jpg and metu_16b_n.jpg and metu_16c_n.jpg: In both cases the clinical, radiological and operative suspicion of a bronchogenic cyst was ...
Looking for online definition of bronchogenic cancer in the Medical Dictionary? bronchogenic cancer explanation free. What is bronchogenic cancer? Meaning of bronchogenic cancer medical term. What does bronchogenic cancer mean?
The posterior mediastinum is the portion of the mediastinum located posteriorly to the pericardium and anteriorly to the T5-T12 vertebrae, inferior to the transverse thoracic plane. This article will consider the borders and contents of this anatomical compartment.
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Hello, I have suddenly begun to get cysts at the age of 37 :( I have had acne since my late 20s, but its really ramping up now. I have two cysts just beginning to go down since they appeared at Christmas. I have a new cyst forming - get this - in my nostril. At this point I always have at least a...
Mediastinum anterius information including symptoms, causes, diseases, symptoms, treatments, and other medical and health issues.
Mediastinum aims to provide high level evidence and useful resources for all healthcare professionals engaged in delivering quality care to their mediastinal patients.
Mediastinum aims to provide high level evidence and useful resources for all healthcare professionals engaged in delivering quality care to their mediastinal patients.
Biology is a science with an exception to just about every rule. But very nearly all organisms use a genetic code. A genetic code, encoded into DNA usually runs every aspect of an organisms ...