[Cystic tumor of the mediastinum of digestive origin. Apropos of a new case. Diagnostic and pathogenic hypotheses].
An incidental discovery of a posterior and inferior mediastinal cyst-like opacity allowed us to diagnose a pulmonary sequestration in a 45-year old woman. The operative findings showed an hour-glass tumor of the inferior mediastinum with an abdominal prolongation attached by a stalk onto the top of the stomach. These findings made us change our diagnosis in favour of an abdomino-thoracic gastric duplication. This new hypothesis was not confirmed by the results of the pathological report which revealed two kinds of tissue; intestinal in the abdomen and broncho-pulmonary in the chest. Two diagnoses where then proposed: complex hamartoma or mediastinal bronchogenic cyst. The pathogenic interpretation in such cases is still very controversial. English authors are prone to classify them as broncho-pulmonary foregut malformations. Macroscopic and microscopic data of the specimen led us to consider our case-report to be a foregut malformation.
Cougard
P
P
Clinique Chirurgicale, Centre Hospitalier, Régional, Dijon.
Bernard
A
A
Melnick
W
W
Guérin
J C
JC
Viard
H
H
D000792:Angiography; D001998:Bronchopulmonary Sequestration; D005260:Female; D006222:Hamartoma / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008479:Mediastinal Neoplasms / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D008875:Middle Aged; D013270:Stomach / Q000002:abnormalities
Tumeur kystique du médiastin d'origine digestive. A propos d'un nouveau cas. Hypothèses diagnostiques et pathogéniques.