Zhang FM, Chen HT, Ning LG, Xu Y, Xu GQ. Esophageal bronchogenic cyst excised by endoscopic submucosal tunnel dissection: A case report. World J Clin Cases 2020; 8(2): 353-361 [PMID: 32047785 DOI: 10.12998/wjcc.v8.i2.353]
Corresponding Author of This Article
Guo-Qiang Xu, MD, Chief Doctor, Department of Gastroenterology, The First Affiliated Hospital, Zhejiang University School of Medicine, Zhejiang University, 79 Qingchun Road, Hangzhou 310003, Zhejiang Province, China. xugq@zju.edu.cn
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Fen-Ming Zhang, Hong-Tan Chen, Long-Gui Ning, Yue Xu, Guo-Qiang Xu, Department of Gastroenterology, The First Affiliated Hospital, Zhejiang University School of Medicine, Zhejiang University, Hangzhou 310003, Zhejiang Province, China
Author contributions: Zhang FM wrote the first draft of the manuscript and assisted with the ESTD and postoperative EUS; Chen HT performed ETSD and edited the manuscript; Ning LG and Xu Y collected and analyzed the data; Xu GQ performed preoperarive EUS, edited the original manuscript and revised the manuscript following peer-review.
Supported byZhejiang Medical Innovation Discipline Plan, No. 2015-JX1-006-001.
Informed consent statement: Written informed consent was provided by the patient prior to study inclusion. All details that might disclose the identity of the subject were omitted or anonymized.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Guo-Qiang Xu, MD, Chief Doctor, Department of Gastroenterology, The First Affiliated Hospital, Zhejiang University School of Medicine, Zhejiang University, 79 Qingchun Road, Hangzhou 310003, Zhejiang Province, China. xugq@zju.edu.cn
Received: August 30, 2019 Peer-review started: August 30, 2019 First decision: November 9, 2019 Revised: December 11, 2019 Accepted: December 21, 2019 Article in press: December 21, 2019 Published online: January 26, 2020 Processing time: 139 Days and 15.6 Hours
Abstract
BACKGROUND
Esophageal bronchogenic cyst (EBC) is a rare congenital disease that is difficult to diagnose preoperatively, and treatment remains controversial.
CASE SUMMARY
We report a 53-year-old Chinese woman hospitalized in our hospital following the discovery of a submucosal protruding mass of the esophagus by upper endoscopy. A preliminary diagnosis of EBC was made by endoscopic ultrasonography (EUS), and treatment was accomplished by endoscopic submucosal tunnel dissection (ESTD). The pathological results verified the diagnosis. No scar changes or cystic lesion within the original lesion were found under EUS after a 3-mo follow-up.
CONCLUSION
EUS is valuable for the preliminary diagnosis of EBC and surveillance. ESTD is a safe and effective treatment for EBC. Further evaluation of complications and long-term follow-ups are required.
Core tip: Bronchogenic cyst is a rare congenital lesion that arises from malformation of the primitive foregut. Esophageal bronchogenic cyst (EBC) is uncommon and is rarely reported in recent literature, with difficult preoperative diagnosis and controversial treatment. We report a patient with EBC. Endoscopic ultrasonography can serve as a valuable tool for preliminary diagnosis, differential diagnosis and surveillance. Endoscopic submucosal tunneling dissection is a safe and effective method for the treatment of EBCs.
