Coexistence of Intrapulmonary Bronchogenic Cyst and Congenital Cystic Adenomatoid Malformation - A Case Report -
오미혜, 정은아, 이지혜, 조현덕, 서기현, 이석열, 김영통,
소속 상세정보
오미혜 ( Oh Mee-Hye )
Soonchunhyang University College of Medicine Department of Pathology
정은아 ( Jung Eun-Ah )
Soonchunhyang University College of Medicine Department of Pathology
이지혜 ( Lee Ji-Hye )
Soonchunhyang University College of Medicine Department of Pathology
조현덕 ( Cho Hyun-Deuk )
Soonchunhyang University College of Medicine Department of Pathology
서기현 ( Seo Ki-Hyun )
Soonchunhyang University College of Medicine Department of Internal Medicine
이석열 ( Lee Seock-Yeol )
Soonchunhyang University College of Medicine Department of Chest Surgery
김영통 ( Kim Young-Tong )
Soonchunhyang University College of Medicine Department of Radiology
KMID : 0357920110450010092
Abstract
Congenital cystic lesions of the lung are uncommon and a conjunction of two or more lesions is very rare. We report here on a case of coexisting intrapulmonary bronchogenic cyst and congenital cystic adenomatoid malformation in a 13-year-old female with a cystic mass in the right upper lobe of the lung. Computed tomography showed a cystic lesion measuring 2.5 cm with an air fluid level and surrounding multicystic lesions in the right upper lobe. On gross examination, the cut surface showed a cystic mass containing inspissated mucinous material, and the cystic mass was surrounded by multiple small cysts. Microscopically, the larger cystic cavity was lined with pseudostratified ciliated columnar epithelium. The submucosal tissue contained mucinous glands and plates of cartilage. The surrounding smaller cysts or irregular spaces were lined with bronchiolartype respiratory epithelium. We propose that this hybrid lung lesion may represent the missing link in a common embryologic pathway determined by the timing of mesenchymal and epithelial interactions.
키워드
Bronchogenic cyst; Cystic adenomatoid malformation of lung; congenital
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