Bronchogenic cyst or lung cancer. Only biopsy can tell

Paul Zarogoulidis; Kosmas Tsakiridis; Anastasios Vagionas; Wolfgang Hohenforst-Schmidt; Bojan Zaric; Stavros Tryfon; Maria Saroglou; Konstantinos Drevelegas; Dimitrios Hatzibougias; Electra Michalopoulou-Manoloutsiou; Dimitris Paliouras; Nikolaos Barbetakis; Haidong Huang; Chong Bai

doi:10.1016/j.rmcr.2020.101328

Bronchogenic cyst or lung cancer. Only biopsy can tell

Respir Med Case Rep. 2020 Dec 31:32:101328. doi: 10.1016/j.rmcr.2020.101328. eCollection 2021.

Authors

Affiliations

¹ 3rd University General Hospital, ''AHEPA'' University Hospital, Thessaloniki, Greece.
² Thoracic Surgery Department, ''Interbalkan'' European Medical Center, Thessaloniki, Greece.
³ Oncology Department, General Hospital of Kavala, Kavala, Greece.
⁴ Sana Clinic Group Franken, Department of Cardiology / Pulmonology / Intensive Care / Nephrology, "Hof" Clinics, University of Erlangen, Hof, Germany.
⁵ Institute for Pulmonary Diseases of Vojvodina, Faculty of Medicine, University of Novi Sad, Serbia.
⁶ Pulmonary Department (NHS), ''G. Papanikolaou'' General Hospital, Thessaloniki, Greece.
⁷ Radiology Department, ''Euromedica'' Private Radiology Laboratory, Thessaloniki, Greece.
⁸ Private Pathology Laboratory, ''Microdiagnostics'', Thessaloniki, Greece.
⁹ Thoracic Surgery Department, ''Theageneio'' Cancer Hospital, Thessaloniki, Greece.
¹⁰ Department of Respiratory Medicine, Changhai Hospital of Second Military Medical University, Shanghai, China.

Abstract

Bronchogenic cysts are rare congenital malformations which derive from primitive ventral foregut. They are usually observed in intrathoracically. A fifty year old male was admitted for the investigation of a three month chest pain. Computed tomography scan of the thorax revealed a lesion around the esophagus and left stem bronchus. Endobronchial ultrasound with convex probe and a 19G needle biopsy revealed a bronchogenic cystic which was removed with video assisted thoracic surgery. Initial radiologic assessment although was thought to be lung cancer because of the smoking habit it turned out to be benignancy. EBUS-TBNAB with 10G needle is safe and absolutely necessary for these lesions, as they take large samples.

Keywords: 19G needle; Bronchogenic cyst; EBUS; Lung cancer.

Publication types

Case Reports