Respiratory Medicine Case Reports (Jan 2021)

Bronchogenic cyst or lung cancer. Only biopsy can tell

  • Paul Zarogoulidis,
  • Kosmas Tsakiridis,
  • Anastasios Vagionas,
  • Wolfgang Hohenforst-Schmidt,
  • Bojan Zaric,
  • Stavros Tryfon,
  • Maria Saroglou,
  • Konstantinos Drevelegas,
  • Dimitrios Hatzibougias,
  • Electra Michalopoulou-Manoloutsiou,
  • Dimitris Paliouras,
  • Nikolaos Barbetakis,
  • Haidong Huang,
  • Chong Bai

Journal volume & issue
Vol. 32
p. 101328

Abstract

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Bronchogenic cysts are rare congenital malformations which derive from primitive ventral foregut. They are usually observed in intrathoracically. A fifty year old male was admitted for the investigation of a three month chest pain. Computed tomography scan of the thorax revealed a lesion around the esophagus and left stem bronchus. Endobronchial ultrasound with convex probe and a 19G needle biopsy revealed a bronchogenic cystic which was removed with video assisted thoracic surgery. Initial radiologic assessment although was thought to be lung cancer because of the smoking habit it turned out to be benignancy. EBUS-TBNAB with 10G needle is safe and absolutely necessary for these lesions, as they take large samples.

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