Esophageal Cysts Workup

  • Author: Dale K Mueller, MD; Chief Editor: Jeffrey C Milliken, MD   more...
 
Updated: Jan 19, 2012
 

Laboratory Studies

  • Laboratory studies do not specifically aid in the diagnosis of esophageal cysts.
  • Laboratory evaluation should be guided by the patient's other medical problems.
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Imaging Studies

  • CT scan is the radiologic modality of choice to aid in diagnosis and operative preparation (see image below).CT scan of esophageal cyst demonstrated by the whiCT scan of esophageal cyst demonstrated by the white line.
  • Chest radiographic findings that suggest a mass in the mediastinum should be followed by a CT scan.
  • See Indications.
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Diagnostic Procedures

  • Esophagoscopy should be performed to rule out an intrinsic component, which should be biopsied to exclude malignancy.
  • If endoscopic ultrasonography is available, then esophagoscopy should be performed to further delineate the extent of the cyst.
  • See Indications.
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Proceed to Treatment & Management
 
 
Contributor Information and Disclosures
Author

Dale K Mueller, MD  Clinical Associate Professor of Surgery, Section Chief, Department of Surgery, University of Illinois College of Medicine; Co-Medical Director, Thoracic Center of Excellence, Vice-Chair, Department of Cardiovascular Medicine and Surgery, OSF St Francis Medical Center; Director, Adult ECMO, Cardiovascular and Thoracic Surgeon, HeartCare Midwest, SC

Dale K Mueller, MD is a member of the following medical societies: American College of Chest Physicians, American College of Surgeons, American Medical Association, American Medical Writers Association, Chicago Medical Society, Illinois State Medical Society, and Society of Thoracic Surgeons

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

Daniel S Schwartz, MD, FACS  Assistant Clinical Professor of Cardiothoracic Surgery, Mount Sinai School of Medicine; Chief of Thoracic Surgery, Huntington Hospital

Daniel S Schwartz, MD, FACS is a member of the following medical societies: American College of Chest Physicians, American College of Surgeons, Society of Thoracic Surgeons, and Western Thoracic Surgical Association

Disclosure: Nothing to disclose.

Alex J Mechaber, MD, FACP  Senior Associate Dean for Undergraduate Medical Education, Associate Professor of Medicine, University of Miami Miller School of Medicine

Alex J Mechaber, MD, FACP is a member of the following medical societies: Alpha Omega Alpha, American College of Physicians-American Society of Internal Medicine, and Society of General Internal Medicine

Disclosure: Nothing to disclose.

Chief Editor

Jeffrey C Milliken, MD  Chief, Division of Cardiothoracic Surgery, University of California at Irvine Medical Center; Clinical Professor, Department of Surgery, University of California, Irvine, School of Medicine

Jeffrey C Milliken, MD is a member of the following medical societies: Alpha Omega Alpha, American Association for Thoracic Surgery, American College of Cardiology, American College of Chest Physicians, American College of Surgeons, American Heart Association, American Society for Artificial Internal Organs, California Medical Association, International Society for Heart and Lung Transplantation, Phi Beta Kappa, Society of Thoracic Surgeons, Southwest Oncology Group, and Western Surgical Association

Disclosure: Nothing to disclose.

Additional Contributors

The authors and editors of eMedicine gratefully acknowledge the contributions of previous authors Christian Birkedal, MD, and J Thomas Williams, MD, to the development and writing of this article.

References

  1. Cioffi U, Bonavina L, De Simone M, Santambrogio L, Pavoni G, Testori A. Presentation and surgical management of bronchogenic and esophageal duplication cysts in adults. Chest. Jun 1998;113(6):1492-6. [Medline].

  2. Will U, Meyer F, Bosseckert H. Successful endoscopic treatment of an esophageal duplication cyst. Scand J Gastroenterol. Aug 2005;40(8):995-9. [Medline].

  3. Herbella FA, Tedesco P, Muthusamy R, Patti MG. Thoracoscopic resection of esophageal duplication cysts. Dis Esophagus. 2006;19(2):132-4. [Medline].

  4. Tapia RH, White VA. Squamous cell carcinoma arising in a duplication cyst of the esophagus. Am J Gastroenterol. May 1985;80(5):325-9. [Medline].

  5. Aldrink JH, Kenney BD. Laparoscopic excision of an esophageal duplication cyst. Surg Laparosc Endosc Percutan Tech. Oct 2011;21(5):e280-3. [Medline].

  6. Barbetakis N, Asteriou C, Kleontas A, Papadopoulou F, Tsilikas C. Video-assisted thoracoscopic resection of a bronchogenic esophageal cyst. J Minim Access Surg. Oct 2011;7(4):249-52. [Medline]. [Full Text].

  7. Martin JT, Cibull ML, Zwischenberger JB, Reda HK. Infection of an esophageal cyst following endoscopic fine-needle aspiration. Int J Surg Case Rep. 2011;2(6):144-6. [Medline]. [Full Text].

  8. Fernando HC, Erdem CC, Daly B, Shemin RJ. Robotic assisted thoracic surgery for resection of an esophageal cyst. Dis Esophagus. 2006;19(6):509-11. [Medline].

  9. Harvell JD, Macho JR, Klein HZ. Isolated intra-abdominal esophageal cyst. Case report and review of the literature. Am J Surg Pathol. Apr 1996;20(4):476-9. [Medline].

  10. St-Georges R, Deslauriers J, Duranceau A, Vaillancourt R, Deschamps C, Beauchamp G. Clinical spectrum of bronchogenic cysts of the mediastinum and lung in the adult. Ann Thorac Surg. Jul 1991;52(1):6-13. [Medline].

 
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CT scan of esophageal cyst demonstrated by the white line.
 
 
 
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