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Eur J Cardiothorac Surg 2001;20:861-863
© 2001 Elsevier Science NL

Case report

Concurrent cysts of the mediastinum, pleura and neck

^a Department of Thoracic Surgery, Royal Brompton Hospital, Sydney Street, London SW3 6NP, UK
^b Department of Histopathology, Royal Brompton Hospital, Sydney Street, London SW3 6NP, UK

Received 14 May 2001; received in revised form 9 July 2001; accepted 12 July 2001.

Corresponding author. Tel.: +44-2073-518559; fax: +44-2073-518560
e-mail: p.goldstraw{at}rbh.nthames.nhs.uk

A 14-year-old male was found to have a mediastinal mass on chest radiograph. Chest computed tomography scans showed a cystic lesion behind the left main bronchus. Magnetic resonance imaging revealed additional cystic lesions in the left chest and root of the neck. He underwent excision of mediastinal mass and a pleural cyst. The neck lesion was presumed to be a cystic hygroma. Histological examination of the two lesions resected showed them to be a foregut cyst and a benign mesothelial cyst. We know of no other report of concurrent multicystic lesions in the chest and neck and hypothesize that these cysts may have a common embryonic origin.

Key Words: Mediastinum • Foregut cyst • Mesothelial cyst