2009 Volume 23 Issue 4 Pages 666-669
We report a surgical case of bronchogenic cyst with hoarseness. A 28-year-old man was admitted to our hospital with hoarseness, dry cough, and chest and back pain. Chest CT and MRI showed a cystic mediastinal tumor of 23×16×25 mm in the area of the trachea, esophagus, and right subclavian artery. We performed thoracoscopic tumor removal. The pathological diagnosis was bronchogenic cyst. Although hoarseness remained for six months postoperatively, it disappeared by one year. Laryngoscopy confirmed that the right vocal cord function had completely recovered. There have been six reports of bronchogenic cyst with hoarseness including our presented case. In these cases, hoarseness had improved completely in only two cases. Even if a cystic mediastinal tumor near the recurrent nerve is asymptomatic, tumor removal should be considered to avoid irreversible recurrent nerve paralysis.
