eMedicine Specialties > Pediatrics: General Medicine > Pulmonology

Bronchogenic Cyst: Treatment & Medication

Author: Mary E Cataletto, MD, Associate Director, Division of Pediatric Pulmonology, Winthrop University Hospital; Professor of Clinical Pediatrics, State University of New York at Stony Brook; Director of Children's Sleep Services, Winthrop University Hospital
Contributor Information and Disclosures

Updated: Oct 6, 2008

Treatment

Surgical Care

  • Surgical resection of all symptomatic bronchogenic cysts is recommended.
  • In newborns with asymptomatic bronchogenic cysts, surgical intervention is recommended at age 3-6 months, allowing for compensatory lung growth.
  • Thoracoscopic resection has major advantages that include less pain, better cosmesis, and decreased risk of rib fusion.5
  • Temporizing or palliative procedures such as transparietal, transbronchial, or mediastinal puncture and aspiration may be considered in cases in which patients are symptomatic and the situation for complete resection is not optimal.

Consultations

  • Preoperative anesthesia consultation is recommended, particularly in infants, because of concern with airway compromise and monitoring.

Medication

Drug therapy is not currently a component of the standard of care for this condition. See Treatment.

More on Bronchogenic Cyst

Overview: Bronchogenic Cyst
Differential Diagnoses & Workup: Bronchogenic Cyst
Treatment & Medication: Bronchogenic Cyst
Follow-up: Bronchogenic Cyst
Multimedia: Bronchogenic Cyst
References
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References

  1. Shanti CM, Klein MD. Cystic lung disease. Semin Pediatr Surg. Feb 2008;17(1):2-8. [Medline].

  2. Limaïem F, Ayadi-Kaddour A, Djilani H, Kilani T, El Mezni F. Pulmonary and mediastinal bronchogenic cysts: a clinicopathologic study of 33 cases. Lung. Jan-Feb 2008;186(1):55-61. [Medline].

  3. Ribet ME, Copin MC, Gosselin B. Bronchogenic cysts of the mediastinum. J Thorac Cardiovasc Surg. May 1995;109(5):1003-10. [Medline].

  4. Aktogu S, Yuncu G, Halilçolar H, Ermete S, Buduneli T. Bronchogenic cysts: clinicopathological presentation and treatment. Eur Respir J. Oct 1996;9(10):2017-21. [Medline].

  5. Langenburg SE, Lelli JL. Minimally invasive surgery of the lung: lung biopsy, treatment of spontaneous pneumothorax, and pulmonary resection. Semin Pediatr Surg. Feb 2008;17(1):30-3. [Medline].

  6. Laje P, Liechty KW. Postnatal management and outcome of prenatally diagnosed lung lesions. Prenat Diagn. Jul 2008;28(7):612-8. [Medline].

  7. Azizkhan RG, Crombleholme TM. Congenital cystic lung disease: contemporary antenatal and postnatal management. Pediatr Surg Int. Jun 2008;24(6):643-57. [Medline].

  8. Duwe BV, Sterman DH, Musani AI. Tumors of the mediastinum. Chest. Oct 2005;128(4):2893-909. [Medline]. [Full Text].

  9. Eber E. Antenatal diagnosis of congenital thoracic malformations: early surgery, late surgery, or no surgery?. Semin Respir Crit Care Med. Jun 2007;28(3):355-66. [Medline].

  10. Monrigal JP, Granry JC. Excision of bronchogenic cysts in children using an ultrathin fibreoptic bronchoscope. Can J Anaesth. Jul 1996;43(7):694-6. [Medline].

  11. Philippart A. Benign mediastinal cysts and tumors. In: O'Neil JA, Rowe M, Grosfeld JL, et al, eds. Pediatric Surgery. 5th ed. St. Louis, MO: Mosby-Year Book Inc; 1998.

  12. Rahmani MR, Filler RM, Shuckett B. Bronchogenic cyst occurring in the antenatal period. J Ultrasound Med. Dec 1995;14(12):971-3. [Medline].

  13. Sarper A, Ayten A, Golbasi I, Demircan A, Isin E. Bronchogenic cyst. Tex Heart Inst J. 2003;30(2):105-8. [Medline].

  14. Takeda S, Miyoshi S, Inoue M, et al. Clinical spectrum of congenital cystic disease of the lung in children. Eur J Cardiothorac Surg. Jan 1999;15(1):11-7. [Medline].

  15. Takeda S, Miyoshi S, Minami M, et al. Clinical spectrum of mediastinal cysts. Chest. Jul 2003;124(1):125-32. [Medline]. [Full Text].

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Further Reading

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Keywords

bronchogenic cyst, lung bud cyst, subcarinal cysts, mediastinal cyst, dysphagia, respiratory distress, pulmonary cyst, airway compromise, respiratory distress, emphysema, Swyer-James syndrome, asthma, adenocarcinoma, rhabdomyosarcoma, superior vena cava syndrome, tracheal compression, pneumothorax, pleurisy, pneumonia

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Contributor Information and Disclosures

Author

Mary E Cataletto, MD, Associate Director, Division of Pediatric Pulmonology, Winthrop University Hospital; Professor of Clinical Pediatrics, State University of New York at Stony Brook; Director of Children's Sleep Services, Winthrop University Hospital
Mary E Cataletto, MD is a member of the following medical societies: American Academy of Pediatrics and American College of Chest Physicians
Disclosure: Shering Plough Pharmaceuticals Honoraria Consulting

Medical Editor

Girish D Sharma, MD, Associate Professor, Department of Pediatrics, Rush University Medical Center, Rush Children's Hospital; Director of Pediatric Pulmonary Section and Rush Cystic Fibrosis Center
Girish D Sharma, MD is a member of the following medical societies: American Academy of Pediatrics, American College of Chest Physicians, American Thoracic Society, and Royal College of Physicians of Ireland
Disclosure: Nothing to disclose.

Pharmacy Editor

Mary L Windle, PharmD, Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy, Pharmacy Editor, eMedicine
Disclosure: Pfizer Inc Stock Investment from broker recommendation; Avanir Pharma Stock Investment from broker recommendation

Managing Editor

Charles Callahan, DO, Professor, Deputy Chief of Clinical Services, Walter Reed Army Medical Center
Charles Callahan, DO is a member of the following medical societies: American Academy of Pediatrics, American College of Chest Physicians, American College of Osteopathic Pediatricians, American Thoracic Society, Association of Military Surgeons of the US, and Christian Medical & Dental Society
Disclosure: Nothing to disclose.

CME Editor

David Pallares, MD, Clinical Assistant Professor, Department of Pediatrics, Division of Allergy and Immunology, University of Louisville
David Pallares, MD is a member of the following medical societies: American Academy of Allergy Asthma and Immunology
Disclosure: Nothing to disclose.

Chief Editor

Michael R Bye, MD, Attending Physician, Pediatric Pulmonary Medicine, Columbia University Medical Center; Professor of Clinical Pediatrics, Division of Pulmonary Medicine, Columbia University College of Physicians and Surgeons
Michael R Bye, MD is a member of the following medical societies: American Academy of Pediatrics, American College of Chest Physicians, and American Thoracic Society
Disclosure: Merck Honoraria Speaking and teaching

 
 
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