Chuang K-H, Huang T-W, Cheng Y-L, Chen J-C, Tzao C, Chang H, Tsai W-C, Lee S-C
Division of Thoracic Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC.
Z Gastroenterol. 2007 Sep;45(9):958-60. doi: 10.1055/s-2007-963069.
BACKGROUND/AIMS: Bronchogenic cysts are congenital lesions of foregut origin, usually found in intrapulmonary or mediastinal locations. However, an esophageal bronchogenic cyst is an uncommon occurrence. The definitive diagnosis is based on histological findings after extirpation of the cyst. Surgical excision of bronchogenic cysts is considered appropriate because of the high complication rates of subsequent infection, rupture, hemorrhage, and malignant degeneration if left untreated.
A 42-year-old man presented with a two-year history of progressive dysphagia. An esophageal bronchogenic cyst was evidenced by esophagography, Computed tomography, magnetic resonance imaging, and endoscopic ultrasound, followed by confirmation with surgical exploration.
Esophageal bronchogenic cysts should be included in the differential diagnosis of a mediastinal tumor, especially when the tumor is within or near the tracheobronchial tube, even though it is a rare condition.
背景/目的：支气管源性囊肿是前肠起源的先天性病变，通常位于肺内或纵隔。然而，食管支气管源性囊肿并不常见。明确诊断基于囊肿切除后的组织学检查结果。由于支气管源性囊肿若不治疗，后续感染、破裂、出血及恶变的并发症发生率较高，因此手术切除被认为是合适的。
一名42岁男性有两年进行性吞咽困难病史。食管造影、计算机断层扫描、磁共振成像及内镜超声检查均证实为食管支气管源性囊肿，随后经手术探查得以确诊。
食管支气管源性囊肿应纳入纵隔肿瘤的鉴别诊断，尤其是当肿瘤位于气管支气管内或其附近时，尽管这是一种罕见情况。
