title: Bronchogenic cyst: Clinical course from antenatal diagnosis to postnatal thoracoscopic resection.
abstract: OBJECTIVE
  The purpose of this study was to describe an approach to surgical management of bronchogenic cysts based on the natural course observed from the time of antenatal screening to surgical resection in patients treated at our institution and reported in the literature.
  
  
  METHODS
  We retrospectively reviewed the clinical features of all children presenting bronchogenic cyst diagnosed antenatally from 2007 to 2010. A total of six children were included.
  
  
  RESULTS
  Antenatal diagnosis was accurate in 62.5% of cases. In the first year of life, the size of the cyst remained stable in four patients, doubled in one, and increased 30% within six months in one. The indication for surgery was emphysema of the left bronchus in two patients and rapid growth in two patients. One patient is still awaiting surgery.
  
  
  CONCLUSIONS
  Bronchogenic cysts grow slowly in the first months of life, but growth is exponential even in the absence of complications. We recommend complete resection before the age of two years to prevent infectious complications and facilitate surgery.
authors.affiliation: Department of Pediatric Surgery, Marseille University, France.
authors.forename: Sophie
authors.initials: S
authors.lastname: Maurin
authors.forename: Géraldine
authors.initials: G
authors.lastname: Hery
authors.forename: Brigitte
authors.initials: B
authors.lastname: Bourliere
authors.forename: Alain
authors.initials: A
authors.lastname: Potier
authors.forename: Jean-Michel
authors.initials: JM
authors.lastname: Guys
authors.forename: Pascal De
authors.initials: PD
authors.lastname: Lagausie
keywords: Adenomatoid malformation; antenatal diagnosis; bronchogenic cyst; fetus; growth; thoracoscopy