A suprasellar bronchogenic cyst: A case report

Abstract

Rationale: Bronchogenic cysts are mainly benign, congenital abnormalities, originating from the remnants of the primitive foregut. However, intracranial bronchogenic cysts have been rarely observed. Hence, better understanding of the suprasellar bronchogenic cysts is of great significance to properly perform perioperative management. Patient's concerns: A 62-year-old Chinese female was admitted to our hospital due to impairment of memory and asthenia. Diagnosis: Magnetic resonance imaging (MRI) confirmed presence of cystic lesion in the suprasellar region. The patient underwent craniotomy with resection of the cystic mass. The histopathological examinations confirmed diagnosis of bronchogenic cyst as well. Interventions: The cystic lesion was removed without complications. No drugs during follow-up were recommended. Outcomes: After discharge, the patient was advised to undergo MRI for 6 months to 1 year. No evidence of recurrence was found in the first postoperative review. Lessons: Bronchogenic cysts should be considered in differential diagnosis of cystic mass detected in the suprasellar region on MRI. Once the disease is considered, surgical resection is recommended to obtain pathological diagnosis, alleviate clinical symptoms, and prevent complications. Abbreviations: DWI = diffusion-weighted imaging, MRI = magnetic resonance imaging.