title: Ectopic pancreas in a giant mediastinal cyst.
abstract: Ectopic pancreas located in the mediastium is an extremely rare anomaly. We present a case of an ectopic pancreas located in a giant mediastinal cyst in an 18-year-old man. He presented with symptoms of dyspnea due to external compression of the cyst on the left main bronchus. Complete surgical resection was performed through median sternotomy, with relief of the bronchial compression postoperatively. Literature review showed 20 previously reported cases. These masses were usually large (>10 cm), almost exclusively located in the anterior mediastinum, predominately cystic in nature and generally benign. Surgical resection was performed in all reported cases with a favorable prognosis. Due to the size of these masses, operative treatment can be challenging and should be carefully planned, with specific considerations regarding anesthetic and surgical management.
authors.affiliation: Department of Cardiothoracic Surgery, University of Amsterdam, Amsterdam, the Netherlands.
authors.forename: Wilson W
authors.initials: WW
authors.lastname: Li
authors.affiliation: Department of Cardiothoracic Surgery, University of Amsterdam, Amsterdam, the Netherlands.
authors.forename: Wim Jan
authors.initials: WJ
authors.lastname: van Boven
authors.affiliation: Department of Pathology, University of Amsterdam, Amsterdam, the Netherlands.
authors.forename: Roy R
authors.initials: RR
authors.lastname: Jurhill
authors.affiliation: Department of Respiratory Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands.
authors.forename: Peter I
authors.initials: PI
authors.lastname: Bonta
authors.affiliation: Department of Respiratory Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands.
authors.forename: Jouke T
authors.initials: JT
authors.lastname: Annema
authors.affiliation: Department of Cardiothoracic Surgery, University of Amsterdam, Amsterdam, the Netherlands.
authors.forename: Bas A
authors.initials: BA
authors.lastname: de Mol
mesh_terms: D000293:Adolescent; D002828:Choristoma / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D008476:Mediastinal Cyst / Q000473:pathology* / Q000601:surgery; D010179:Pancreas; D011379:Prognosis; D056346:Sternotomy; D014057:Tomography, X-Ray Computed
keywords: ectopic pancreas; mediastinal tumor; perioperative management; thoracic surgery