• Journal of Chest Surgery
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• 제11권4호
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• pp.476-480
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• 1978

Bronchogenic cysts are congenital and uncommon lesions which are derived from primitive forgut and usually found within the lung or mediastinum. The increased use of roentgenograms of the thorax and the widening scope of thoracic surgery, many more cases of bronchogenic cysts are being observed. Three cases of bronchogenic cysts operated in the department of thoracic surgery, C.A.F.G.H., are reported and the related literatures are reviewed.

• Journal of Chest Surgery
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• 제28권3호
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• pp.221-227
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• 1995

Malignancy is one of the several exogenous and endogenous factors that increase serum alpha 1-PI. In fact, serum levels of alpha 1-PI were significantly elevated in the patients with the nonresectable bronchogenic cancer. the purpose of this work was to determine if the immediate postoperative change of serum alpha 1-PI level following tumor resection relates to the patient`s postoperative course. Clinical experimental study was carried out to investigate the postoperative changes of serum alpha 1-PI level following operation for 20 cases of bronchogenic cancer and 10 cases of control, nephrectomy patients Alpha 1-PI concentrations in serum was quantitated by use of radial immunodiffusion technique.The results were as follows ; Preoperative serum level of alpha 1-PI was significantly elevated in patients with bronchogenic cancers [p < 0.001 , when compared to normal control levels. Immediate postoperative serum alpha 1-PI level was significantly increased in patients with bronchogenic cancer [p < 0.05 , but slightly decreased at control groups. The peak serum level of alpha 1-PI was the postoperative three days, and then gradually decreased at the 5, 9, 14 days, but slightly elevated comparing to preoperative alpha 1-PI levels. Serum alpha 1-PI level in patients with adenocarcinoma was elevated, when compared to squamous cell carcinoma, but not significantly. According to the stages of the bronchogenic cancer, each levels of the serum alpha 1-PI were slightly different, but the whole postoperative changes were the general similarity. There were no significant difference in changes of the serum alpha 1-PI level, according to the operative procedures. As the alpha 1-PI is acute reactant, that it was required at the reoperative state of the bronchogenic cancer and rapid response, consumption or requirement were occurred, postoperatively. Therefore, alpha 1-PI can be perioperative indicator for the evaluation of the bronchogenic cancer.

• 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 Chest Surgery
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• 제3권1호
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• pp.13-16
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• 1970

A case of bronchogenic cyst of the posterior mediastinum in a boy of 5 years of age was encountered at Seoul University Hospital. Scarcity of case reports in Korea and Japan suggests that bronchogenic cyst is a relatively rare entity in the Far East.

• 대한기관식도과학회지
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• 제18권2호
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• pp.64-66
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• 2012

Bronchogenic cysts are uncommon congenital anomalies and commonly located in the mediastinum or lung parenchyma. Bronchogenic cyst in cervical area is rare and in posterior pharyngeal area is exteremely rare. Clinically, it is usually asymptomatic and incidentally diagnosed. It is pathologically confirmed only when there are bronchial tissues such as pseudostratified ciliated columnar epithelium, smooth muscle cells, mucous gland and/or cartilage. Since it has potential for malignant transformation and complication, complete excision is essential. We report a case of bronchogenic cyst located in the retropharyngeal space with a review of literature.

• Journal of Chest Surgery
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• 제18권4호
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• pp.800-805
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• 1985

Bronchogenic cysts are a congenital cystic lesion which are usually found within the lung parenchyme or mediastinum. Two cases of bronchogenic cysts were presented and related literatures were reviewed. The first case of bronchogenic cyst was located in the wall of the esophagus. Preoperatively, this case was thought duplication cyst of esophagus, but postoperative microscopic examination showed the tumor was a bronchogenic cyst with respiratory epithelium. The second case had double cysts; one in the superior and posterior mediastinum, the other in the lung parenchyme. The cyst in the mediastinum was extirpated and the other cyst in the lung was removed by right upper lobectomy. Postoperative course were uneventful in both patients.

• Journal of Chest Surgery
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• 제22권3호
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• pp.468-472
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• 1989

Bronchogenic cysts are uncommon congenital lesions which are derived from primitive foregut. Most of the bronchogenic cysts may occur at the tracheal bifurcation, both main bronchi, the lung parenchyme and the mediastinum. We experienced a case of bronchogenic cyst with a esophageal stalk. The diagnosis was made by simple chest x-ray and confirmed by bronchoscopy and chest CT. On the chest CT findings, 6.8X4.8 cm-sized oval shaped mass was located on the right posteroinferior side of the carina, elevating the right main bronchus and the thin wall of the mass was enhanced with contrast materials. On the operative findings, the esophagus and the cyst were connected with a stalk and the cyst was filled with mucinous materials. And on the histological findings, the mass was lined with pseudostratified ciliated columnar epithelium. Thus we report this case of bronchogenic cyst with review of literatures.

• Journal of Chest Surgery
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• 제14권3호
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• pp.210-214
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• 1981

The bronchogenic cysts result from an abnormal budding or branching of the tracheo-bronchial tree from the primitive foregut. Bronchogenic cysts may be pulmonary or mediastinal. The most common location for a mediastinal bronchogenic cyst is in relation to the carina. They are usually solitary. They usually are thin walled and contain fluid that is most often clear. The cyst is lined by ciliated columnar epithelium. The bronchogenic cyst i~ usually asymptomatic. They can cause pressure symptoms. When they become infected, symptoms do occur. We report 3 cases of bronchogenic cysts experienced at the Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital. Case I, a man of 20 year-old, had a cyst at the site between aortic arch and left pulmonary artery. He complained cough and dyspnea. The cyst wasn`t communicated with tracheobronchial tree. Case II was 55-year-old male who had had hemoptysis. A huge cyst was located within the lower lobe of left lung and removed by pulmonary lobectomy. There were not any symptoms in Case III that was 6-year old girl. That cyst was located just next to the right main bronchus.

• Journal of Chest Surgery
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• 제32권1호
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• pp.66-69
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• 1999

기관지성 낭종은 태아기에 원시전장으로부터 분화하는 비교적 드문 선천성 질환이며, 대부분 기관분기부, 양측 주기관지, 폐실질 그리고 종격동에서 발생한다. 40세 남자 환자로 호흡곤란과 흉부압박감을 주소로 입원하여, 컴퓨터 단층촬영 검사상 경계가 명확하고 크기가 7.2$\times$7.9 cm이며, 좌심방을 압박하는 균질의 종양이 발견되었고 심초음파 검사상 중등도의 승모판막 폐쇄부전을 보였다. 수술은 낭종을 완전히제거하였으며, 조직학적 검사상 기관지성 낭종으로 확진되었다. 추적관찰 결과 환자는 증상없이 잘 지내고 있었으며, 심초음파 검사상 승모판막 폐쇄부전은 경도로 호전되었다. 본 국립의료원에서는 승모판막 폐쇄부전증을 유발한 기관지성 낭종 1례를 치험하였기에 보고하는 바이다.

• Journal of Chest Surgery
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• 제43권2호
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• pp.221-223
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• 2010

기관지성 낭종은 일반적으로 폐실질 내 혹은 종격동 내에 발생하는 것으로 알려져 있다. 종격동 내에 위치하는 경우 기관지와 식도 부근에 위치하나 후복막강에 위치하는 경우는 매우 드물다. 수술 전에 기관지성 낭종과 양성 낭종을 구분하는 것은 매우 어렵다. 저자들은 수술 전 양성 신경종으로 진단후 좌측 개흉술을 통해 절제된 후복막강의 종괴가 병리조직검사 결과 기관지성 낭종으로 밝혀져 보고하는 바이다.