Bocciolini Corso, Dall'olio Danilo, Cunsolo Elio, Latini Gino, Gradoni Paolo, Laudadio Pasquale
Department of Otolaryngology-Head and Neck Surgery, Ospedale Maggiore, Bologna, Italy.
Acta Otolaryngol. 2006 May;126(5):553-6. doi: 10.1080/00016480500416819.
Bronchogenic cysts are rare congenital malformations of ventral foregut development. They are usually located in the mediastinum and intrapulmonary regions. Localization in the cervical area is unusual and the majority of cases reported have been found in the pediatric population: the literature reports few cases in adults. We describe a 57-year-old male who presented an asymptomatic right lateral neck mass. Diagnostic studies included chest X-ray, pharyngo-esophagus double-contrast X-ray, computed tomography (CT), and bronchoscopy. The mass was excised through a transverse right cervical skin incision. The right lateral neck mass of the patient was identified as a bronchogenic cyst. The embryology, the presentation, the pathological and radiological evaluation, treatment of the cyst and a review of the English literature are reported in this paper. Cervical bronchogenic cysts are usually diagnosed in the pediatric population; these lesions are rare in adults. We suggest that the clinical observation of an asymptomatic lateral neck mass in an adult should include the possibility of a bronchogenic cyst in the differential diagnosis. Surgical excision is the elective treatment for this tumor, in order to prevent complications including infection, compression symptoms, malignant transformation, and the rare but fatal air embolism.
支气管源性囊肿是前肠腹侧发育过程中罕见的先天性畸形。它们通常位于纵隔和肺内区域。位于颈部的情况并不常见，且报道的大多数病例见于儿科人群：文献中成人病例报道较少。我们描述了一名57岁男性，其右侧颈部出现无症状肿块。诊断性检查包括胸部X线、咽食管双重对比X线、计算机断层扫描（CT）和支气管镜检查。通过右侧颈部横向皮肤切口切除肿块。患者右侧颈部肿块被确定为支气管源性囊肿。本文报告了该囊肿的胚胎学、表现、病理和影像学评估、治疗以及英文文献综述。颈部支气管源性囊肿通常在儿科人群中被诊断；这些病变在成人中罕见。我们建议，对于成人无症状的侧颈部肿块进行临床观察时，鉴别诊断应考虑支气管源性囊肿的可能性。手术切除是该肿瘤的首选治疗方法，以预防包括感染、压迫症状、恶变以及罕见但致命的空气栓塞等并发症。
