A Case of Cervical Bronchogenic Cyst

Abstract

A 32-year-old woman with cervical bronchogenic cyst diagnosed by resection is described. The patient was under treatment for hyperthyroidism. Computed tomography and ultrasonic echogram examination revealed bilateral cystic masses in the lower neck. The patient was operated on via transverse neck incision. Operation revealed that the left cyst had no connection with the thyroid. The left cyst was approximately 4cm diameter, the wall was thin and contained white turbid mucus. Histologically, the cyst consisted of ciliated epithelium, smooth muscle, mucus glands and this evidence established the final diagnosis of bronchogenic cyst. The right cyst was diagnosed adenomatous goiter. Surgical excision is indicated for cervical bronchogenic cysts because of their compression of contiguous structures and tendency to become infected. The postoperative course was uneventful and the patient was discharged 7days after operation. This is the 10th reported case of a cervical bronchogenic cyst in the Japanese literature.