TITLE

Usual and unusual locations of intrathoracic mesothelial cysts. Is endoscopic resection always possible?

AUTHOR(S)
Mouroux, Jérôme; Venissac, Nicolas; Leo, Francesco; Guillot, Françoise; Padovani, Bernard; Hofman, Paul
PUB. DATE
November 2003
SOURCE
European Journal of Cardio-Thoracic Surgery;Nov2003, Vol. 24 Issue 5, p684
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Objective: Mesothelial intrathoracic cysts are congenital lesions classically located in the anterior cardiophrenic angle (pleuro-pericardial cysts). Locations elsewhere in the thorax are infrequent. The aim of the study was to describe a 10-year, single-institution experience with endoscopic management of mesothelial cysts by video-assisted thoracoscopy (VT) or video-assisted mediastinoscopy (VM), regardless of their location. Methods: From January 1992 to December 2002, 13 patients (four males and nine females, mean age 49.9 years, range 22–75) underwent surgery for a mesothelial cyst. Information on past history, clinical and radiological presentation, indications for surgery, the surgical procedure and postoperative outcome were collected retrospectively and inserted in a dedicated database. A follow-up visit was performed on December 2002 in all of the patients. Results: In five patients the cyst was in the right cardio-phrenic angle, in three cases it was in the left cardiophrenic angle. Five cysts were located in the mediastinum (right paratracheal space in two cases, anterior mediastinum in one case, paravertebral mediastinum in two cases). Mean lesion diameter was 7.5 cm (±4)×5 cm (±2). Cyst density ranged between 1 and 10 Hounsfield units (HU) in 11 patients. It was respectively 38 and 52 UH in the other two patients. All patients were classed ASA 1 or 2 according to the guidelines of the American Society of Anesthesiologists (ASA). Indications for surgery included the presence of symptoms, uncertain diagnosis, practice of a particular sport or professional activity, and radiological evidence of compression of the superior vena cava (namely for the two paratracheal lesions). Eleven patients were operated on by VT. Two patients with a right paratracheal lesions were operated on by VM. Mean operating time was 60±14 min (range 45–80). No postoperative complications were recorded. The mean postoperative stay was 4.3±1.2 days (5 days for VT and 2.5 days for VM). Pathology studies confirmed the diagnosis of mesothelial cyst in all cases. Conclusions: Mesothelial cysts have a heterogeneous distribution within the thorax, and nearly 40% are located elsewhere than in the cardiophrenic angle. Endoscopic resection by VT or VM can be proposed as the treatment of choice even for mesothelial cysts in unusual locations.
ACCESSION #
11175670

 

Related Articles

  • Primary cutaneous adenoid cystic carcinoma of the chest wall: A rare entity. Raychaudhuri, Sujata; Santosh, K. V.; Babu, H. V. Satish // Journal of Cancer Research & Therapeutics;Oct-Dec2012, Vol. 8 Issue 4, p633 

    Primary Cutaneous Adenoid Cystic Carcinoma (PCACC) is a rare form of cutaneous carcinoma. It closely resembles adenoid cystic carcinoma of salivary glands. The lesion tends to infiltrate and recur locally but rarely metastasizes to distant organs and lymph nodes. We present here a case of...

  • Right-Sided Cardiophrenic Mass in an Older Woman. MING-TZER LIN; JU TSAI; CHUN-TA HUANG // American Family Physician;10/15/2010, Vol. 82 Issue 8, p971 

    A photo quiz concerning the presence of right-sided cardiophrenic mass in older women is presented.

  • Some rare presentations of hydatid cyst (Echinococcus granulosus). Abu-Eshy, S.A. // Journal of the Royal College of Surgeons of Edinburgh;Oct98, Vol. 43 Issue 5, p347 

    Presents several cases of hydatid cyst in Asir Central Hospital, Abba, Saudi Arabia. Brain hydatid cyst in space-occupying lesion; Symptoms and signs of cardiac tamponade due to pericardial hydiatosis; Hydatid cyst filling the whole abdominal cavity and involving multiple organs.

  • Malignant chest wall neoplasms of bone and cartilage: a pictorial review of CT and MR findings. P O'Sullivan; H O'Dwyer; J Flint; P L Munk; N L Muller // British Journal of Radiology;Aug2007, Vol. 80 Issue 956, p678 

    Malignant tumours of the chest wall are uncommon. The purpose of this pictorial essay is to describe the CT and MRI findings of malignant neoplasms affecting the bony skeleton of the chest wall and the costal cartilages. The most common primary malignant neoplasms involving the bony skeleton of...

  • Non-neoplastic mediastinal cysts. Zambudio, Antonio Rıos; Lanzas, Juan Torres; Calvo, Marıa José Roca; Fernández, Pedro J. Galindo; Paricio, Pascual Parrilla // European Journal of Cardio-Thoracic Surgery;Nov2002, Vol. 22 Issue 5, p712 

    Objective: The non-neoplastic mediastinal cysts (NNMCs) form a group of uncommon benign lesions of a congenital origin. The significant controversy regarding these cysts is whether to manage with observation or surgical resection. The aim of this study is to analyse the utility of thoracic...

  • Pericardial cyst in a child treated with video-assisted thoracoscopic surgery. Eto, Akiko; Arima, Tohru; Nagashima, Akira // European Journal of Pediatrics;2000, Vol. 159 Issue 12, p889 

    Abstract A pericardial cyst is a rare condition in childhood. We report on a 10-year-old girl who presented with an intrathoracic mass detected on a chest X-ray performed during a routine medical examination. She had no symptoms and a physical examination revealed no abnormalities....

  • postmediastinal.  // Taber's Cyclopedic Medical Dictionary;2005, p1741 

    A definition of the term "postmediastinal" is presented. The term is related to the mediastinum.

  • Unusual Presentation Of Sebaceous cysts of scrotum. Kumaraswamy, Prakash; Dindyal, Shiva; McAllister, William // Internet Journal of Urology;2008, Vol. 5 Issue 2, p16 

    The article presents the case study of a 68 year old man was admitted with an acute confusional state. Incidental findings on examination were multiple painless, pedunculated lesions within the scrotal skin. It reports that a scrotal ultrasound scan was normal and the masses were diagnosed as...

  • Intraosseous angiosarcoma with secondary aneurysmal bone cysts presenting as an elusive diagnostic challenge. Lung Fung Tse; Ek, Eugene T. H.; Slavin, John L.; Schlicht, Stephen M.; Choong, Peter F. M. // International Seminars in Surgical Oncology;2008, Vol. 5, Special section p1 

    Angiosarcoma of bone is an exceedingly rare primary bone malignancy that can present as an aggressive osteolytic lesion. Histological diagnosis can be extremely challenging, as the pathological features often resemble that of aneurysmal bone cysts. We report an interesting and peculiar case of...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics