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An unusual cause of posterior mediastinal cyst.

Dhooria S, Muthu V, Agarwal R - Lung India (2015 Nov-Dec)

Bottom Line: Cysts in the posterior mediastinum are generally developmental cysts and are neurogenic or of foregut origin.We report the case of a 14-year-old boy, who presented with dry cough and progressively increasing breathlessness, and was found to have a cystic lesion in the posterior mediastinum.Fine needle aspiration from the cyst helped make a diagnosis of tuberculosis.

View Article: PubMed Central - PubMed

Affiliation: Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, Haryana and Punjab, India.

ABSTRACT
Cystic lesions of the mediastinum may be congenital or acquired. The differential diagnosis depends on their location in the mediastinum. Cysts in the posterior mediastinum are generally developmental cysts and are neurogenic or of foregut origin. We report the case of a 14-year-old boy, who presented with dry cough and progressively increasing breathlessness, and was found to have a cystic lesion in the posterior mediastinum. Fine needle aspiration from the cyst helped make a diagnosis of tuberculosis.

No MeSH data available.


Related in: MedlinePlus

(a and b) Computed tomography (CT) of the chest showing complete resolution of the lesion after treatment
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Figure 3: (a and b) Computed tomography (CT) of the chest showing complete resolution of the lesion after treatment

Mentions: Ultrasound-guided needle aspiration from the mass revealed well-defined epithelioid cell granulomas and multinucleated giant cells, with necrotic material in the background. Ziehl-Neelsen staining revealed acid-fast bacilli (AFB). A diagnosis of tuberculosis was made. The patient was started on antituberculosis treatment with rifampicin, isoniazid, pyrazinamide, and ethambutol in doses according to his weight. His symptoms improved and he became completely asymptomatic in a month. A CT chest repeated at three months showed complete disappearance of the mass [Figure 3].


An unusual cause of posterior mediastinal cyst.

Dhooria S, Muthu V, Agarwal R - Lung India (2015 Nov-Dec)

(a and b) Computed tomography (CT) of the chest showing complete resolution of the lesion after treatment
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4663866&req=5

Figure 3: (a and b) Computed tomography (CT) of the chest showing complete resolution of the lesion after treatment
Mentions: Ultrasound-guided needle aspiration from the mass revealed well-defined epithelioid cell granulomas and multinucleated giant cells, with necrotic material in the background. Ziehl-Neelsen staining revealed acid-fast bacilli (AFB). A diagnosis of tuberculosis was made. The patient was started on antituberculosis treatment with rifampicin, isoniazid, pyrazinamide, and ethambutol in doses according to his weight. His symptoms improved and he became completely asymptomatic in a month. A CT chest repeated at three months showed complete disappearance of the mass [Figure 3].

Bottom Line: Cysts in the posterior mediastinum are generally developmental cysts and are neurogenic or of foregut origin.We report the case of a 14-year-old boy, who presented with dry cough and progressively increasing breathlessness, and was found to have a cystic lesion in the posterior mediastinum.Fine needle aspiration from the cyst helped make a diagnosis of tuberculosis.

View Article: PubMed Central - PubMed

Affiliation: Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, Haryana and Punjab, India.

ABSTRACT
Cystic lesions of the mediastinum may be congenital or acquired. The differential diagnosis depends on their location in the mediastinum. Cysts in the posterior mediastinum are generally developmental cysts and are neurogenic or of foregut origin. We report the case of a 14-year-old boy, who presented with dry cough and progressively increasing breathlessness, and was found to have a cystic lesion in the posterior mediastinum. Fine needle aspiration from the cyst helped make a diagnosis of tuberculosis.

No MeSH data available.


Related in: MedlinePlus