Video-assisted thoracoscopic resection of a Hattori’s cyst in the posterior mediastinum: a case report
DOI:
https://doi.org/10.6016/ZdravVestn.3049Keywords:
Hattori, mediastinum, Mullerian cyst, VATSAbstract
First reported by Hattori in 2004, the mediastinal cyst with Mullerian differentiation is a rather new finding. We present a case of a 51-year-old woman with a cystic formation in the left paravertebral space at the level of 4th and 5th thoracic vertebrae, which was discovered on an MRI scan. We have performed a video-assisted thoracosopic (VATS) resection of the cyst. Histological and immunohistochemical staining showed a ciliated cyst with Mullerian differentiation (i.e. Hattori's cyst). To our knowledge, only 31 cases have been described in the literature so far. Data suggests their prevalence may be higher since they are often found incidentally and are typically asymptomatic.
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1. Hattori H. Ciliated cyst of probable mullerian origin arising in the posterior mediastinum. Virchows Arch. 2005;446(1):82-4.
DOI: 10.1007/s00428-004-1087-0
PMID: 15480767
2. Hattori H. High prevalence of estrogen and progesterone receptor expression in mediastinal cysts situated in the posterior mediastinum. Chest. 2005;128(5):3388-90.
DOI: 10.1378/chest.128.5.3388
PMID: 16304289
3. Businger AP, Frick H, Sailer M, Furrer M. A ciliated cyst in the posterior mediastinum compatible with a paravertebral Mullerian cyst. Eur J Cardiothorac Surg. 2008;33(1):133-6.
PMID: 17977003
4. Sekimura A, Iwai S, Funasaki A, Motono N, Usuda K, Uramoto H. Müllerian cyst in posterior mediastinum: A report of a case. Int J Surg Case Rep. 2018;49:163-5.
DOI: 10.1016/j.ijscr.2018.06.037
PMID: 30015213
5. Tsai PC, Yeh YC, Hsu PK, Wu YC. “No drain” uniportal thoracoscopic resection for posterior mediastinal paravertebral Mullerian cyst. Ann Transl Med. 2018;6(23):462.
DOI: 10.21037/atm.2018.10.63
PMID: 30603650
6. Miura H, Miura J, Hirano H. Mediastinal cysts with Mullerian differentiation. Respirol Case Rep. 2018;6(5):e00324.
DOI: 10.1002/rcr2.324
PMID: 29750109
7. Chao C, Vanguri V, Uy K. Robot-Assisted Thoracoscopic Resection of a Posterior Mediastinal Mullerian Cyst. Case Rep Pulmonol. 2018;2018:1424275.
DOI: 10.1155/2018/1424275
PMID: 29535882
8. Lee JE, Cha YK, Kim JS, Choi JH, Han KM. Müllerian Cyst in Posterior Mediastinum in a Young Woman. Balkan Med J. 2018;35(2):216-8.
DOI: 10.4274/balkanmedj.2017.0896
PMID: 29180343
9. Yasukawa M, Uchiyama T, Ohbayashi C, Kawaguchi T, Kawai N, Sawabata N, et al. A case of a Müllerian cyst arising in the posterior mediastinum. Oxf Med Case Rep. 2018;2018(11):omy080.
DOI: 10.1093/omcr/omy080
PMID: 30319783
10. Mowad R, Samra NS, Rao V. A Mullerian Cyst Resected From the Posterior Mediastinum. J La State Med Soc. 2017;169(2):43-7.
PMID: 28414660
11. Thomas-de-Montpréville V, Dulmet E. Cysts of the posterior mediastinum showing müllerian differentiation (Hattori’s cysts). Ann Diagn Pathol. 2007;11(6):417-20.
DOI: 10.1016/j.anndiagpath.2006.12.011
PMID: 18022126
12. Batt RE, Mhawech-Fauceglia P, Odunsi K, Yeh J. Pathogenesis of mediastinal paravertebral müllerian cysts of Hattori: developmental endosalpingiosis-müllerianosis. Int J Gynecol Pathol. 2010;29(6):546-51.
DOI: 10.1097/PGP.0b013e3181e3640a
PMID: 20881858
13. Kobayashi S, Inoue T, Karube Y, Hayama M, Oyaizu T, Honma K, et al. A case of Mullerian cyst arising in posterior mediastinum. Ann Thorac Cardiovasc Surg. 2012;18(1):39-41.
DOI: 10.5761/atcs.cr.11.01678
PMID: 21881341
14. Simmons M, Duckworth LV, Scherer K, Drew P, Rush D. Mullerian cysts of the posterior mediastinum: report of two cases and review of the literature. J Thorac Dis. 2013;5(1):E8-10.
DOI: 10.3978/j.issn.2072-1439.2012.07.10
PMID: 23372963
15. Chon SH, Im UJ, Song DS. Paravertebral mediastinal Mullerian cyst resected by video assisted thoracoscopic surgery. J Thorac Dis. 2015;7(3):E47-9.
DOI: 10.3978/j.issn.2072-1439.2014.12.05
PMID: 25922749
16. Weedle R, Conway K, Saftic I, Soo A. Posterior mediastinal Müllerian cyst: a rare cause of pain in a young woman. Asian Cardiovasc Thorac Ann. 2017;25(6):466-8.
DOI: 10.1177/0218492317716588
PMID: 28605953
17. Lee SJ, Hwang CS, Park DY, Huh GY, Lee CH. A ciliated cyst with müllerian differentiation arising in the posterior mediastinum. Korean J Pathol. 2014;48(5):401-4.
DOI: 10.4132/KoreanJPathol.2014.48.5.401
PMID: 25366081
18. Skancke MD, Auzenne TD, Tabbara SO, Mortman KD. Thoracoscopic Resection of Multiple Müllerian Cysts. Ann Thorac Surg. 2015;100(5):1898-900.
DOI: 10.1016/j.athoracsur.2015.01.076
PMID: 26522538
19. Le Pimpec-Barthes F, Cazes A, Bagan P, Badia A, Vlas C, Hernigou A, et al. Les kystes du médiastin: approche diagnostique et traitement. Rev Pneumol Clin. 2010;66(1):52-62.
DOI: 10.1016/j.pneumo.2009.12.009
PMID: 20207297
20. Li L, Zeng XQ, Li YH. CT-guided percutaneous large-needle aspiration and bleomycin sclerotherapy for bronchogenic cyst: report of four cases. J Vasc Interv Radiol. 2010;21(7):1045-9.
DOI: 10.1016/j.jvir.2010.03.009
PMID: 20537555
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