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Choi, Koh, Lee, Han, and Kim: Multicystic Pulmonary Parenchymal Lesions in a Young Adult with Hemoptysis
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Tuberculosis and Respiratory Diseases

Tuberculosis and Respiratory Diseases 2007; 62(1): 71-73.

Published online: 31 January 2007

DOI: https://doi.org/10.4046/trd.2007.62.1.71

Multicystic Pulmonary Parenchymal Lesions in a Young Adult with Hemoptysis

Kyoung A Choi, M.D., Won-Jung Koh, M.D., Kyung Soo Lee, M.D.1, Joungho Han, M.D.2, Kwhanmien Kim, M.D.4

Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

1Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

2Department of Medicine, Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

3Department of Medicine, Thoracic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Address for correspondence: Won Jung Koh, M.D. Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Iron-dong, Gngnam-gu, Seoul 135-710, Korea. Telephone: (822) 3410-3429, Fax: (822) 3410-3849, wjkoh@smc.samsung.co.kr

Received 29 November 2006       Accepted 21 December 2006

Copyright © 2007 The Korean Academy of Tuberculosis and Respiratory Diseases

Abstract

Bronchogenic cysts are commonly located in the mediastinum or lung parenchyma, and arise from the abnormal budding of the primitive tracheobronchial tube. Cough and pain are the most common symptoms. Bronchogenic cysts appear as spherical or oval masses with smooth outlines and are usually unilocular and noncalcified. We report a young adult with a bronchogenic cyst presenting as multicystic pulmonary parenchymal lesions. This case is very unusual because a multicystic intrapulmonary bronchogenic cyst is very rare in adults.

Keywords: Bronchogenic cyst, Adult, Hemoptysis

Figures and Tables

Figure 1
(A) Posteroanterior chest radiograph shows 6 cm sized thin-walled air cyst in the left lung. (B) Computed tomography (CT) image shows multicystic intraparenchymal lesions in the superior segment of the left lower lobe and the posterior segment of the left upper lobe.
trd-62-71-g001
Figure 2
(A) Left lower lobectomy specimen shows a large lung cyst without communication with bronchus. (B) Photomicrography (original magnification, × 400; H & E staining) shows a cyst wall lined by respiratory epithelium.
trd-62-71-g002

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