Department of Radiology, Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou, China.
Department of Pathology, Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou, China.
J Int Med Res. 2020 May;48(5):300060520925673. doi: 10.1177/0300060520925673.
Bronchogenic cysts are primitive, foregut-derived developmental anomalies with bronchial-type, pseudostratified cylindrical epithelium. They are usually discovered in the thorax. The occurrence of such cysts in the retroperitoneum is extremely rare. Imaging techniques are generally effective in the detection of retroperitoneal bronchogenic cyst. Here, we report two cases (a 27-year-old man and a 33-year-old man) who had no clinical symptoms and were found by chance to have masses in the adrenal gland area during routine physical examination. We found that they had some similar computed tomography imaging features, including complete adrenal structure, cystic fusiform mass in adrenal region, and inclusion of calcifications in the lesions. However, accurate preoperative diagnosis remains difficult and only histology can provide a definitive diagnosis. Surgery remains the treatment of choice.
支气管源性囊肿是一种原始的、前肠来源的发育异常，具有支气管型、假复层柱状上皮。它们通常在胸部发现。此类囊肿在后腹膜腔极为罕见。影像学技术通常可有效检测腹膜后支气管源性囊肿。在此，我们报告两例（一名 27 岁男性和一名 33 岁男性）患者，他们无临床症状，在常规体检时偶然发现肾上腺区域有肿块。我们发现他们具有一些相似的计算机断层成像特征，包括完整的肾上腺结构、肾上腺区域的囊性梭形肿块以及病变内包含钙化。然而，术前准确诊断仍然困难，只有组织学检查才能提供明确诊断。手术仍然是治疗的首选。
