Single-port thoracoscopic resection of a posterior mediastinal Mullerian cyst in a woman

Mullerian cysts are benign tumors that are very rare in the posterior mediastinum. It is necessary to distinguish Mullerian cysts from benign tumors or other types of cyst in the posterior mediastinum. A 42-year-old woman visited our hospital for a routine check-up, and a mediastinal mass was identi...

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Main Authors: Kai Kang, Sheng Wang, Binfeng Li, Manxiang Wang, Fei Xiong
Format: Article
Language:English
Published: SAGE Publishing 2022-05-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605221096275
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author Kai Kang
Sheng Wang
Binfeng Li
Manxiang Wang
Fei Xiong
author_facet Kai Kang
Sheng Wang
Binfeng Li
Manxiang Wang
Fei Xiong
author_sort Kai Kang
collection DOAJ
description Mullerian cysts are benign tumors that are very rare in the posterior mediastinum. It is necessary to distinguish Mullerian cysts from benign tumors or other types of cyst in the posterior mediastinum. A 42-year-old woman visited our hospital for a routine check-up, and a mediastinal mass was identified on chest computed tomography (CT). Contrast-enhanced chest magnetic resonance imaging (MRI) revealed a 4.0 × 2.6 × 2.8-cm mass, and a neurogenic tumor or esophageal cyst was suspected. Single-port thoracoscopic surgery was performed for cyst removal. Histopathological examination of the resected tissue revealed that the cyst wall was covered with a single layer of ciliated columnar epithelium. Immunohistochemical staining revealed positivity for paired box gene 8 (PAX8), Wilms tumor protein 1 (WT-1), estrogen receptor (ER), and progesterone receptor (PR). Therefore, a diagnosis of mediastinal Mullerian cyst was made. Mediastinal Mullerian cysts should be included in the differential diagnosis of posterior mediastinal cysts. Cystic lesions in the posterior mediastinum should be removed surgically and undergo immunohistochemical examination.
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spelling doaj.art-7cfae7b592394179b1819c38a121503a2022-12-22T03:35:09ZengSAGE PublishingJournal of International Medical Research1473-23002022-05-015010.1177/03000605221096275Single-port thoracoscopic resection of a posterior mediastinal Mullerian cyst in a womanKai KangSheng WangBinfeng LiManxiang WangFei XiongMullerian cysts are benign tumors that are very rare in the posterior mediastinum. It is necessary to distinguish Mullerian cysts from benign tumors or other types of cyst in the posterior mediastinum. A 42-year-old woman visited our hospital for a routine check-up, and a mediastinal mass was identified on chest computed tomography (CT). Contrast-enhanced chest magnetic resonance imaging (MRI) revealed a 4.0 × 2.6 × 2.8-cm mass, and a neurogenic tumor or esophageal cyst was suspected. Single-port thoracoscopic surgery was performed for cyst removal. Histopathological examination of the resected tissue revealed that the cyst wall was covered with a single layer of ciliated columnar epithelium. Immunohistochemical staining revealed positivity for paired box gene 8 (PAX8), Wilms tumor protein 1 (WT-1), estrogen receptor (ER), and progesterone receptor (PR). Therefore, a diagnosis of mediastinal Mullerian cyst was made. Mediastinal Mullerian cysts should be included in the differential diagnosis of posterior mediastinal cysts. Cystic lesions in the posterior mediastinum should be removed surgically and undergo immunohistochemical examination.https://doi.org/10.1177/03000605221096275
spellingShingle Kai Kang
Sheng Wang
Binfeng Li
Manxiang Wang
Fei Xiong
Single-port thoracoscopic resection of a posterior mediastinal Mullerian cyst in a woman
Journal of International Medical Research
title Single-port thoracoscopic resection of a posterior mediastinal Mullerian cyst in a woman
title_full Single-port thoracoscopic resection of a posterior mediastinal Mullerian cyst in a woman
title_fullStr Single-port thoracoscopic resection of a posterior mediastinal Mullerian cyst in a woman
title_full_unstemmed Single-port thoracoscopic resection of a posterior mediastinal Mullerian cyst in a woman
title_short Single-port thoracoscopic resection of a posterior mediastinal Mullerian cyst in a woman
title_sort single port thoracoscopic resection of a posterior mediastinal mullerian cyst in a woman
url https://doi.org/10.1177/03000605221096275
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AT manxiangwang singleportthoracoscopicresectionofaposteriormediastinalmulleriancystinawoman
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