Pan Zhongjing, Qiu Zijun, Lv Dan, Chen Fei
Department of Otorhinolaryngology Head and Neck Surgery,West China Hospital,Sichuan University,Chengdu,610041,China.
West China School of Medicine,Sichuan University.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2022 Nov;36(11):872-874. doi: 10.13201/j.issn.2096-7993.2022.11.013.
A case of mediastinal bronchial cyst misdiagnosed as schwannoma is reported. The patient had no chest pain, dyspnea, cough, sputum and hemoptysis in the past. Chest enhanced CT showed mediastinal mass with clear boundary. The larger cross-section was about 3.9 cm × 3.4 cm, and there was no obvious enhancement. The primary diagnosis was considered as schwannoma, tracheal cyst or esophagus cyst. The mediastinal tumor was resected via cervical approach under general anesthesia. During the operation, it was found that the mass was located in the middle and upper mediastinum, with diameter of about 4 cm and a smooth surface, containing gelatinous cystic fluid and adhered to the esophagus and trachea. Postoperative pathological diagnosis was bronchogenic cyst. The patient recovered well after the operation, and has not recurred since follow-up.
报告1例纵隔支气管囊肿误诊为神经鞘瘤的病例。患者既往无胸痛、呼吸困难、咳嗽、咳痰及咯血症状。胸部增强CT显示纵隔肿块,边界清晰。最大截面约为3.9 cm×3.4 cm,无明显强化。初步诊断考虑为神经鞘瘤、气管囊肿或食管囊肿。在全身麻醉下经颈部入路切除纵隔肿瘤。术中发现肿块位于中纵隔上部,直径约4 cm,表面光滑,内含胶冻样囊液,与食管和气管粘连。术后病理诊断为支气管源性囊肿。患者术后恢复良好,随访至今未复发。