Mediastinal bronchogenic cyst's recurrence treated with EBUS-FNA with a long-term follow-up

Eur J Cardiothorac Surg. 2006 Apr;29(4):627-9; discussion 629. doi: 10.1016/j.ejcts.2005.12.052. Epub 2006 Feb 14.


Bronchogenic cysts are congenital abnormalities generally mediastinal and are frequently detected incidentally. We report a case of a symptomatic mediastinal cyst treated previously by video-assisted thoracoscopy (VATS) but complicated by pericystic adhesions. The subsequent incomplete excision led, after 8 months, to a cyst's recurrence that was accurately drained by endobronchial ultrasonography-guided fine needle aspiration (EBUS-FNA), with no new regrowth after 18 months. We hypothesized that the support of a high-definition diagnostic tool (EBUS) improved the FNA ability to make a deep and complete aspiration of the cyst. The usefulness of FNA in bronchogenic cyst's treatment is underestimated. Our experience is an attempt to encourage the use of EBUS-FNA as a new therapeutic option in the management of bronchogenic cyst.

Publication types

  • Case Reports

MeSH terms

  • Biopsy, Needle
  • Bronchogenic Cyst / diagnostic imaging
  • Bronchogenic Cyst / therapy*
  • Female
  • Follow-Up Studies
  • Humans
  • Mediastinal Cyst / diagnostic imaging
  • Mediastinal Cyst / therapy*
  • Middle Aged
  • Recurrence
  • Thoracic Surgery, Video-Assisted
  • Tomography, X-Ray Computed
  • Ultrasonography, Interventional / methods