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The Journal of Thoracic and Cardiovascular Surgery, Vol 90, 776-782, Copyright © 1985 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
S Sirivella, WB Ford, EA Zikria, WH Miller, SR Samadani and ME Sullivan
Mediastinal cysts of foregut origin represent an important diagnostic
group. Classified according to their anomalous embryonic origins, they
include bronchogenic, esophageal, enteric, and nonspecific cysts. A series
of 20 consecutive surgically treated cases from the thoracic surgical
service of a large medical center is reported, all successfully resolved
without mortality. Described are 12 bronchogenic, four enterogenous, and
four nonspecific cysts, occurring in a variety of thoracic locations. Close
attention to symptomatology reveals a wide range of manifestations, from
total absence of symptoms to life- threatening respiratory distress.
Definitive diagnosis was accomplished in some cases by means of noninvasive
radiologic techniques, while angiography, bronchoscopy, and esophagoscopy
were also useful in selected instances. Operative therapy consisted of
complete excision if possible or partial excision if adhesion to
intrathoracic bodies had occurred.
ARTICLES
Foregut cysts of the mediastinum. Results in 20 consecutive surgically treated cases
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