Cyst In Mediastinum – A Rare Case Report
Journal Title: Journal of Medical Science And clinical Research - Year 2016, Vol 4, Issue 12
Abstract
Background: Cystic lesions in mediastinum are rare (10-27%). They are believed to originate as a result of developmental anomalies of the foregut. Generally found in young adults (average age, 31 years). Case Description: Clinical presentation: 55 year old female presented with dry cough for 6 months, breathlessness for 3 months, progressively increasing for past 10 days presented as a acute emergency in the casualty. Radiological imaging revealed a non-enhancing cystic lesion at the upper two third of right hemithorax. Thoracotomy was performed and intra-operatively a multiloculated encapsulated tumor adherent to lung and lateral aspect of trachea, containing straw colored fluid was noted. Cyst was removed in piecemeal and exact origin was not made out. Gross: specimen was received in multiple fragments with grey white external surface and irregularly thickened yellowish cut surface. Microscopy: showed a thick fibrocollagenous wall discontinuously lined by single layer of ciliated coloumnar epithelium with abundant inflammatory infiltrate of foamy histiocytes, lymphocytes and spindle cells- fibroblastic proliferation, lung parenchymal attachment with no evidence of peripheral thymic tissue hence diagnosed as Branchial cyst. Discussion: Branchial cleft cysts are located on the lateral side of neck, mediastinum is involved if it arises from fifth to sixth cleft. Theoretically, the existence of fifth or sixth branchial cleft and its anomalies in mediastinum are possible in humans. Conclusion: Branchial cyst in mediastinum is rare with only 3 cases being reported in the literature till now. The key to uncover the mystery of Mediastinal cyst is only by histological means.
Authors and Affiliations
Dr D. Pushpalatha
Keywords
Related Articles
- EP ID EP210007
- DOI -
- Views 66
- Downloads 0
Study of Emergency Intestinal Resection and Anastomosis in Adults
Aims and Objectives: (1) To study the emergency intestinal resection and anastomosis. (2) To study various intestinal pathologies for which emergency intestinal resection and anastomosis was performed. (3)To study variou...
Rosai Dorfmans Disease: A Rare Benign Disease of Breast
Rosai Dorfmans Disease also called sinus histiocytosis with massive lymphadenopathy (SHML) is a rare disorder of sinus histiocyte. Mostly involves lymph nodes but can occur in other body parts. This disease is extremely...
Ratio of Atherogenic and Antiatherogenic Lipoproteins in RVO
Retinal vein occlusion is the most common retinal vascular disease after diabetic retinopathy. Due to its multifactorial nature, diagnosis and management remains a challenge. Hyperlipidemia is one of the risk factors. So...
Prevalence and Etiology of Seizures in Kashmir
Background: Seizures and epilepsy are common neurological disorders which significantly affect the quality of life. About 10 % of the population experiences a seizure in their lifetime, and are a common source of referra...
Curvularia A Most Common Missed Occulomycosis in Ocular Trauma
Curvularia keratitis typically presented as superficial feathery infiltration, rarely with visible pigmentation that gradually became locally suppurative. Smears of corneal scrapings often disclosed hyphae, and culture m...