Tuberc Respir Dis.  2007 Jan;62(1):71-73. 10.4046/trd.2007.62.1.71.

Multicystic Pulmonary Parenchymal Lesions in a Young Adult with Hemoptysis

Affiliations
  • 1Division of Pulmonary and Critical Care Medicine, Department of Medicine, Sungkyunkwan University School of Medicine, Seoul, Korea. wjkoh@smc.samsung.co.kr
  • 2Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 3Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 4Department of Thoracic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Abstract

Bronchogenic cysts are commonly located in the mediastinum or lung parenchyma, and arise from the abnormal budding of the primitive tracheobronchial tube. Cough and pain are the most common symptoms. Bronchogenic cysts appear as spherical or oval masses with smooth outlines and are usually unilocular and noncalcified. We report a young adult with a bronchogenic cyst presenting as multicystic pulmonary parenchymal lesions. This case is very unusual because a multicystic intrapulmonary bronchogenic cyst is very rare in adults.

Keyword

Bronchogenic cyst; Adult; Hemoptysis

MeSH Terms

Adult
Bronchogenic Cyst
Cough
Hemoptysis*
Humans
Lung
Mediastinum
Young Adult*

Figure

  • Figure 1 (A) Posteroanterior chest radiograph shows 6 cm sized thin-walled air cyst in the left lung. (B) Computed tomography (CT) image shows multicystic intraparenchymal lesions in the superior segment of the left lower lobe and the posterior segment of the left upper lobe.

  • Figure 2 (A) Left lower lobectomy specimen shows a large lung cyst without communication with bronchus. (B) Photomicrography (original magnification, × 400; H & E staining) shows a cyst wall lined by respiratory epithelium.


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