• Journal of Chest Surgery
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• 제9권1호
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• pp.83-89
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• 1976

This is a report on the cases of benign mediastinal tumors in the Department of Thoracic and Cardiovascular Surgery, Chonnam University Hospital during the period from 1961 to 1975. Age distribution was from 18 to 62 years old with the highest incidence in the 3rd decade, and sex ratio of male to female was 7 : 8. The tumor were classified as follows; 6 cases of teratoma 5 cases of neurogenic tumor one case of pericardial cyst one case of cystic hygroma one case of dermoid cyst one case of bronchogenic cyst. The symptomatic patients were 10 cases (66.7%) and asymptomatic patients were 5 cases (33.3%), who were found incidentally by routine chest n-ray. The symptoms occurred by compression to the adjacent nerve system in 7 cases, by perforation into the lung with infection in one case of teratoma and by infection of bronchogenic cyst in one case and of teratoma in one case. Complications were Pancoast's syndrome including Horner's syndrome 2 cases, middle lobe syndrome 2 cases, intercostal neuralgia 1 case and bronchitis 1 case. All tumors were surgically resectable with good recovery. In all 10 cases of symptomatic patients, their symptoms disappeared dramatically after operation.

• Journal of Chest Surgery
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• 제11권1호
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• pp.102-107
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• 1978

This is a report of a chylous cyst in the mediastinum found in a 61 year old Korean female patient who suffered from mild swallowing difficulty and right chest discomfort. These symptoms had developed 5 years previously when chest P-A view showed thumb-tip sized mass shadow in right mediastinum, just right to ascending aorta. Esophagogram revealed an indentation of midesophagus. Follow up checks showed growing mass shadow which suggested aneurysm of ascending aorta. On admission chest X-ray revealed a well circumscribed infant head sized mass density along the right heart border and middle mediastinal border, and extended near to the middle clavicular line in right chest cavity. Aortogram revealed no relationship between the mass and aorta. Right thoracotomy was performed under impression of mediastinal tumor. There was a large cyst containing 700 cc of milky fluid. There was no connection to the thoracic duct nor adjacent organs. The fluid was analyzed chemically and identified the fluid as chyle. The origin of the isolated chylous cyst was uncertain postoperative course was uneventful.

• Journal of Chest Surgery
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• 제27권3호
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• pp.226-229
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• 1994

VATS is now used by many thoracic surgeons and in various anatomic locations such as lung parenchyme, pleura and mediastinum, etc. VATS of mediastinal masses has special characteristics compared to that of other diseases. Those are no positional changes of the mass during collapse of the lung and close proximity of the mass to major vascular structures, nerves and other vital organs. From 1992. July to 1993. August, 10 mediastinal masses were treated with video assisted thoracoscopy. There were five males and five females, ages ranged from 11 years to 65 years with average 37.7 17.7 years old. Of the 10 patients, 4 were bronchogenic cysts, 2 were teratoma, and the others were thymoma, neurilemmoma, pericardial cyst, and thymic cyst. Needle aspiration was done in large cysts and the working thoracotomy[or utility thoracotomy] was done in large solid masses for the purpose of easy dissection, easy handling and easy delivery of the mass. The average operation time were 155.6 6.8 minutes and the duration of air leakage were 1 2.2 days. The duration of the chest tube drainage were 3.3 2.6 days. The lengths of the postoperative hospitalization were 5.1 2.7 days which were shorter than those of 12 mediastinal masses treated with conventional thoracotomy during the same periods [p<0.05]. There was 1 patient converted to thoracotomy because of a bleeding at innominate vein. 3 postoperative complications were occured. Those were persistent air leakage for 7 days, diaphragmatic palsy and hoarseness which were recovered within 1 month. We conclude that mediastinal mass can be excised with video assisted thoracoscopy and the posthospitalization is reduced. But careful attention is required for avoiding injury to major vascular structures, nerves, and other vital organs.

• Journal of Chest Surgery
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• 제17권3호
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• pp.505-510
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• 1984

Among varieties of the mediastinal tumors, benign developmental cysts [Entergenous cysts] occur about 10% of them. From the primitive foregut, tracheobronchial tree and esophagus develop at 3 weeks of its embryonal age, and bronchogenic cyst arises from accessory or supernumerary lung bud. Usually it remains isolated with surrounding structures, and causes no specific symptoms. But few cases of bronchogenic cysts have fistulous communication with esophagus causing compressive symptoms. We report a case of unusual complicated case of bronchogenic cyst with review of literatures.

• Journal of Chest Surgery
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• 제33권10호
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• pp.847-850
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• 2000

Isolated bronchogenic cysts of the diaphragm are rare abnormalities. They are usually asymptomatic unless secondarily infected or large enough to cause compression of vital structures. The patient was a 31-year-old man and had no symptoms except mild postprandial epigastric discomfort. The chest X-ray and chest C-T examination revealed a mediastinal mass at the left cardio-vertebro-phrenic angle. We performed the operation under the impression of solid mass at mediastinum. We revealed that the mass was bronchogenic cyst in diaphragm. Therefore we report this case with review of literatures.

• Journal of Chest Surgery
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• 제21권1호
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• pp.196-199
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• 1988

The bronchogenic cyst, one of rare congenital cystic disease, was reported occasionally since the first description of Bartholinus in 1678. The increased use of roentgenograms of the thorax and the widening scope of thoracic surgery was made, and much more cases of bronchogenic cysts has been observed. The most common location of a mediastinal bronchogenic cyst was the hilum. The treatment for bronchogenic cyst is surgical resection. Forty eight cases of bronchogenic cysts which were pathologically confirmed, are reported and the related literatures are reviewed.

• Tuberculosis and Respiratory Diseases
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• 제66권2호
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• pp.136-140
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• 2009

기관지기원 물혹은 드물게 발생하는 선천성 질환으로 주로 종격동에 분포하며 기관지와의 소통이 발생하는 경우, 악성으로 전환된 경우를 제외하고는 크기가 갑자기 커지는 경우는 드문 일이다. 1년 전 검진에서 시행한 단순 흉부 촬영에서 이상이 없었던 젊은 남자가 흉부검진에서 종격동 덩어리가 발견되어 급격한 크기의 증가가 확인되었던 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

• Journal of Yeungnam Medical Science
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• 제34권1호
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• pp.91-95
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• 2017

We report on a rare case involving a 23-year-old female patient with mediastinal cystic mass complicated with acute pericarditis and cardiac tamponade. Pericardial fluid demonstrated lymphocyte-predominant exudate and the level of carcinoembryonic antigen (CEA) was unexpectedly elevated. Successive aspiration of mediastinal cystic mass revealed a very high level of CEA (>100,000 U/mL) and carbohydrate antigen 19-9 (>15,000 ng/mL). This patient was clinically diagnosed as an infected bronchogenic cyst complicated with pericarditis and cardiac tamponade. The treatment resulted in alleviation of her symptoms.

• Journal of Chest Surgery
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• 제40권6호
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• pp.459-462
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• 2007

심막낭종은 매우 드문 종격동 양성종양으로 대부분 우측 심장횡경막각에서 발생한다. 그러나 흉곽내의 다른 부위에서도 드물게 발생할 수 있으며, 이런 경우 종격동에서 기원하는 다른 낭종 질환과의 감별진단에 주의를 기울여야 한다. 본 증례는 비전형적인 병소인 폐하부에 위치한 심막낭종을 비데오 흉강경을 이용하여 낭종제거술을 시행하고 문헌고찰과 함께 보고하는 바이다.

• Journal of Chest Surgery
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• 제5권2호
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• pp.147-152
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• 1972

This is a report on the 4 cases of benign mediastinal teratoid tumor in the Department of Thoracic Surgery Chonnam University Hospital during the period from August, 1961 to August ,1972. All the tumors were teratomas which had three germinal layers and located in the anterior mediastinum. All the cases had symptoms such as Pancoast syndrome. exertional dyspnea, middle lobe syndrome with fistulous Connection to the cyst and retrosternal discomfort. X-ray studies are essential to recognize the tumor and its location. It`s believed that a exploratory thoracotomy is recommended because of the complications of the tumors and a possibility of malignancy.