Laryngeal cysts in infants and children-A pathologist's perspective (with review of literature)

Debarshi Saha, Ruchi Sinha, Radha R. Pai, Ashwini Kumar, Shrijeet Chakraborti

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Objectives: To expose the rarity of the phenomena of congenital laryngeal cysts. Additionally, a discussion is presented in support of the basic similarities between laryngeal duplication cyst and bronchogenic cyst and a proposal to use the term 'bronchogenic cyst' (appended by the location) is put forth. Materials and methods: Three cases of cysts of the larynx, two in the neonate and one, in a child were discovered in the pediatric age group from the archives of the Department of Pathology, Kasturba Medical College, Mangalore. Observations: Laryngeal duplication cyst/bronchogenic cyst in a 6-day-old male infant was lined by predominantly respiratory with focal squamous epithelium. The wall contained fibromuscular bundles within a myxoid stroma studded with seromucinous glands. The fibromuscular bundles were positive for smooth muscle actin (SMA) and negative with desmin. A 3-year-old male child diagnosed of laryngocele had the cyst lined by respiratory epithelium and the wall densely infiltrated with lymphoid cells. A 20-day-old male neonate with laryngomalacia had a small arytenoid cyst lined by squamous epithelium. Conclusion: On morphological grounds, a laryngeal duplication cyst may be called a bronchogenic cyst and published reports do not deny that both these entities are cognate. Hence, pathologists should enjoy the freedom to write 'bronchogenic cyst' as the final impression if the histological features should so indicate. Otolaryngologtists however might term the congenital cyst as Type 1, 2a or 2b (according to Forte's classification) taking into account the laryngoscopic, radiologic, intraoperative and pathological findings.

Original languageEnglish
Pages (from-to)1112-1117
Number of pages6
JournalInternational Journal of Pediatric Otorhinolaryngology
Volume77
Issue number7
DOIs
Publication statusPublished - 01-07-2013

Fingerprint

Bronchogenic Cyst
Cysts
Laryngocele
Laryngomalacia
Epithelium
Newborn Infant
Respiratory Mucosa
Desmin
Pathologists
Larynx
Smooth Muscle
Actins
Age Groups
Lymphocytes
Pediatrics
Pathology

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Otorhinolaryngology

Cite this

@article{bc18540c32c441b69502c5b461b841a1,
title = "Laryngeal cysts in infants and children-A pathologist's perspective (with review of literature)",
abstract = "Objectives: To expose the rarity of the phenomena of congenital laryngeal cysts. Additionally, a discussion is presented in support of the basic similarities between laryngeal duplication cyst and bronchogenic cyst and a proposal to use the term 'bronchogenic cyst' (appended by the location) is put forth. Materials and methods: Three cases of cysts of the larynx, two in the neonate and one, in a child were discovered in the pediatric age group from the archives of the Department of Pathology, Kasturba Medical College, Mangalore. Observations: Laryngeal duplication cyst/bronchogenic cyst in a 6-day-old male infant was lined by predominantly respiratory with focal squamous epithelium. The wall contained fibromuscular bundles within a myxoid stroma studded with seromucinous glands. The fibromuscular bundles were positive for smooth muscle actin (SMA) and negative with desmin. A 3-year-old male child diagnosed of laryngocele had the cyst lined by respiratory epithelium and the wall densely infiltrated with lymphoid cells. A 20-day-old male neonate with laryngomalacia had a small arytenoid cyst lined by squamous epithelium. Conclusion: On morphological grounds, a laryngeal duplication cyst may be called a bronchogenic cyst and published reports do not deny that both these entities are cognate. Hence, pathologists should enjoy the freedom to write 'bronchogenic cyst' as the final impression if the histological features should so indicate. Otolaryngologtists however might term the congenital cyst as Type 1, 2a or 2b (according to Forte's classification) taking into account the laryngoscopic, radiologic, intraoperative and pathological findings.",
author = "Debarshi Saha and Ruchi Sinha and Pai, {Radha R.} and Ashwini Kumar and Shrijeet Chakraborti",
year = "2013",
month = "7",
day = "1",
doi = "10.1016/j.ijporl.2013.04.012",
language = "English",
volume = "77",
pages = "1112--1117",
journal = "International Journal of Pediatric Otorhinolaryngology",
issn = "0165-5876",
publisher = "Elsevier Ireland Ltd",
number = "7",

}

Laryngeal cysts in infants and children-A pathologist's perspective (with review of literature). / Saha, Debarshi; Sinha, Ruchi; Pai, Radha R.; Kumar, Ashwini; Chakraborti, Shrijeet.

In: International Journal of Pediatric Otorhinolaryngology, Vol. 77, No. 7, 01.07.2013, p. 1112-1117.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Laryngeal cysts in infants and children-A pathologist's perspective (with review of literature)

AU - Saha, Debarshi

AU - Sinha, Ruchi

AU - Pai, Radha R.

AU - Kumar, Ashwini

AU - Chakraborti, Shrijeet

PY - 2013/7/1

Y1 - 2013/7/1

N2 - Objectives: To expose the rarity of the phenomena of congenital laryngeal cysts. Additionally, a discussion is presented in support of the basic similarities between laryngeal duplication cyst and bronchogenic cyst and a proposal to use the term 'bronchogenic cyst' (appended by the location) is put forth. Materials and methods: Three cases of cysts of the larynx, two in the neonate and one, in a child were discovered in the pediatric age group from the archives of the Department of Pathology, Kasturba Medical College, Mangalore. Observations: Laryngeal duplication cyst/bronchogenic cyst in a 6-day-old male infant was lined by predominantly respiratory with focal squamous epithelium. The wall contained fibromuscular bundles within a myxoid stroma studded with seromucinous glands. The fibromuscular bundles were positive for smooth muscle actin (SMA) and negative with desmin. A 3-year-old male child diagnosed of laryngocele had the cyst lined by respiratory epithelium and the wall densely infiltrated with lymphoid cells. A 20-day-old male neonate with laryngomalacia had a small arytenoid cyst lined by squamous epithelium. Conclusion: On morphological grounds, a laryngeal duplication cyst may be called a bronchogenic cyst and published reports do not deny that both these entities are cognate. Hence, pathologists should enjoy the freedom to write 'bronchogenic cyst' as the final impression if the histological features should so indicate. Otolaryngologtists however might term the congenital cyst as Type 1, 2a or 2b (according to Forte's classification) taking into account the laryngoscopic, radiologic, intraoperative and pathological findings.

AB - Objectives: To expose the rarity of the phenomena of congenital laryngeal cysts. Additionally, a discussion is presented in support of the basic similarities between laryngeal duplication cyst and bronchogenic cyst and a proposal to use the term 'bronchogenic cyst' (appended by the location) is put forth. Materials and methods: Three cases of cysts of the larynx, two in the neonate and one, in a child were discovered in the pediatric age group from the archives of the Department of Pathology, Kasturba Medical College, Mangalore. Observations: Laryngeal duplication cyst/bronchogenic cyst in a 6-day-old male infant was lined by predominantly respiratory with focal squamous epithelium. The wall contained fibromuscular bundles within a myxoid stroma studded with seromucinous glands. The fibromuscular bundles were positive for smooth muscle actin (SMA) and negative with desmin. A 3-year-old male child diagnosed of laryngocele had the cyst lined by respiratory epithelium and the wall densely infiltrated with lymphoid cells. A 20-day-old male neonate with laryngomalacia had a small arytenoid cyst lined by squamous epithelium. Conclusion: On morphological grounds, a laryngeal duplication cyst may be called a bronchogenic cyst and published reports do not deny that both these entities are cognate. Hence, pathologists should enjoy the freedom to write 'bronchogenic cyst' as the final impression if the histological features should so indicate. Otolaryngologtists however might term the congenital cyst as Type 1, 2a or 2b (according to Forte's classification) taking into account the laryngoscopic, radiologic, intraoperative and pathological findings.

UR - http://www.scopus.com/inward/record.url?scp=84879780831&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84879780831&partnerID=8YFLogxK

U2 - 10.1016/j.ijporl.2013.04.012

DO - 10.1016/j.ijporl.2013.04.012

M3 - Article

C2 - 23684174

AN - SCOPUS:84879780831

VL - 77

SP - 1112

EP - 1117

JO - International Journal of Pediatric Otorhinolaryngology

JF - International Journal of Pediatric Otorhinolaryngology

SN - 0165-5876

IS - 7

ER -