Lakadamyali Hatice, Ergun Tarkan, Lakadamyali Huseyin, Oguzkurt Levent
Department of Radiology, Alanya Teaching and Medical Research Center, Baskent University, Alanya 07400, Antalya, Turkey.
Cardiovasc Intervent Radiol. 2007 Nov-Dec;30(6):1274-6. doi: 10.1007/s00270-007-9082-x.
Bronchogenic cyst is a rare developmental lesion. It is usually asymptomatic and most frequently located in the middle mediastinum and lung parenchyma. It can cause symptoms only when infected or pressing on neighboring structures. The MRI findings in a 34-year-old woman with an 8 months history of back pain were evaluated and revealed a cystic lesion in the left paravertebral area. The histopathologic evaluation of the material aspirated with CT guidance was reported to be bronchogenic cyst. A simultaneous alcohol ablation was accomplished. After the procedure the patient's pain disappeared and the follow-up MRI scan 1 year later revealed no relapse. Paravertebrally located bronchogenic cysts are very rare and only 3 cases were found to be reported in the medical literature prior to this one. While aspiration alone is sufficient for diagnosis, it is insufficient to treat the lesion and prevent the recurrences. This paper reports a paravertebral bronchogenic cyst which was symptomatic despite of its small size. CT-guided aspiration was accomplished and simultaneous alcohol ablation was carried out to prevent recurrences.
支气管源性囊肿是一种罕见的发育性病变。它通常无症状，最常见于中纵隔和肺实质。只有在感染或压迫邻近结构时才会引起症状。对一名有8个月背痛病史的34岁女性的MRI检查结果进行了评估，发现左椎旁区域有一个囊性病变。据报告，在CT引导下抽吸的材料的组织病理学评估为支气管源性囊肿。同时进行了酒精消融。术后患者疼痛消失，1年后的随访MRI扫描显示无复发。椎旁支气管源性囊肿非常罕见，在此之前医学文献中仅报道过3例。虽然单纯抽吸足以诊断，但不足以治疗病变和预防复发。本文报告了一例尽管体积小但有症状的椎旁支气管源性囊肿。完成了CT引导下的抽吸，并同时进行了酒精消融以预防复发。
