Case Report
 
Intrapulmonary bronchogenic cyst mimicking primary lung cancer with atypical radiological findings
Toru Nakamura1, Shouichi Takayama2, Tomonari Oki2, Yoshiro Otsuki3, Kazuhito Funai4, Futoru Toyoda1
1General thoracic surgeon, Department of general thoracic surgery, Seirei Hamamatsu General Hospital city, Hamamatsu, Japan.
2Surgical trainee, department of general thoracic surgery, Seirei Hamamatsu General Hospital city, Hamamatsu, Japan.
3Chairman, department of pathology, Seirei Hamamatsu General Hospital city, Hamamatsu, Japan.
4Faculty member, First Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.

doi:10.5348/ijcri-201578-CR-10539

Address correspondence to:
Toru Nakamura
2-12-12, Sumiyoshi, Hamamatsu
Shizuoka
Japan 430-8558
Phone: +81-53-474-2222
Fax: +81-53-471-6050

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How to cite this article
Nakamura T, Takayama S, Oki T, Otsuki Y, Funai K, Toyoda F. Intrapulmonary bronchogenic cyst mimicking primary lung cancer with atypical radiological findings. Int J Case Rep Images 2015;6(8):474–476.


Abstract
Introduction: Bronchogenic cyst is a congenital disease secondary to abnormal budding of the bronchial tree during embryonic development. It usually develops in the mediastinum and is rarely seen in the lung parenchyma. A diagnosis is often made before surgery because of its typical cystic appearance in computed tomography scan and magnetic resonance imaging scan.
Case Report: A 71-year-old female presented with an abnormal shadow in her right lung on a chest radiograph. She underwent right upper lobectomy, under the suspicion that the nodule was primary lung cancer. Pathological examination showed an intrapulmonary bronchogenic cyst with a thickened cyst wall containing hyalinized fibrous tissue and lymphocyte infiltration.
Conclusion: Even an asymptomatic bronchogenic cyst might have been affected by an infectious event in the past, and could reveal a variety of atypical radiological findings.

Keywords: Bronchogenic cyst, Differential diagnosis, Intrapulmonary, Lung cancer


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Author Contributions
Toru Nakamura – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Shouichi Takayama – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Tomonari Oki – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Yoshiro Otsuki – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Kazuhito Funai – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Futoru Toyoda – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2015 Toru Nakamura et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.