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Anterior mediastinal bronchogenic cyst: demonstration of complicating malignancy by CT and MRI

K Ashizawa, MD1, T Okimoto, MD1, T Shirafuji, MD2, H Kusano, MD3, H Ayabe, MD2 and K Hayashi, MD1

1Department of Radiology and 2First Department of Surgery, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki 852-8501 and 3Department of Surgery, Ekisaikai Nagasaki Hospital, Nagasaki, Japan



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Figure 1. Chest radiograph showing a mass (arrow) superimposed on the aortic arch.

 


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Figure 2. Unenhanced CT showing an anterior mediastinal mass with a capsule and multiple calcific deposits.

 


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Figure 3. The presence of a solid component is suspected in the lower portion of the mass on contrast enhanced CT 3 cm caudal to Figure 2Go.

 


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Figure 4. T1 weighted sagittal MRI showing a small hypointense area (arrow), suggesting a solid component in the lower portion of the mass.

 


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Figure 5. Histopathological appearance of the cyst wall shows bronchus-like tissue including ciliated epithelium, hyaline cartilage and mucoserous glands (hematoxylin and eosin stain, x 10).

 


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Figure 6. Foci of adenocarcinoma are seen in the thickened cyst wall (hematoxylin and eosin stain, x 50).

 





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