Presternal cutaneous bronchogenic cyst: a rare case


  • N. Srivani Department of Pathology, Gandhi Medical College, Hyderabad, Telangana
  • Syamala Srujana Department of Pathology, Gandhi Medical College, Hyderabad, Telangana
  • Rajendra Prasad Department of Paediatric Surgery, Gandhi Medical College, Hyderabad, Telangana
  • L. Krishna Department of Pathology, Gandhi Medical College, Hyderabad, Telangana
  • O. Shravan Kumar Department of Pathology, Gandhi Medical College, Hyderabad, Telangana


Cutaneous bronchogenic cyst, Presternal, Lymphoid follicles


Cutaneous bronchogenic cysts are rare congenital anomalies arising from the ventral foregut that forms the respiratory system as a result of abnormal budding of the bronchial tree during embryogenesis between 4th and 6th weeks of gestation. In the majority of the cases, pre-operative diagnosis is difficult, and the diagnosis is usually a histopathological surprise. We report a case of cutaneous bronchogenic cyst of the presternal location, which presented as a subcutaneous nodule with a discharging fistula. Histopathology showed a cyst lined by respiratory type of epithelium and unusual presence of lymphoid follicles around the cyst wall.


Yoon YC, Lee KS, Kim TS, Kim J, Shim YM, Han J. Intrapulmonary bronchogenic cyst: CT and pathologic findings in five adult patients. AJR Am J Roentgenol. 2002;179(1):167-70.

Pradeep KE. Cutaneous bronchogenic cyst: An under-recognised clinicopathological entity. J Clin Pathol. 2009;62(4):384.

Muezzinoglu B, Sozubir S, Tugay M, Guvenc BH. Histological and clinical overlapping. Am J Dermatopathol. 2001;23(3):278-9.

Seybold WD, Clagett OT. Presternal cyst. J Thoracic Cardiovasc Surg. 1945;14:217-20.

Shah SK, Stayer SE, Hicks MJ, Brandt ML. Suprasternal bronchogenic cyst. J Pediatr Surg. 2008;43(11):2115-7.

Park HS, Son HJ, Kang MJ. Cutaneous bronchogenic cyst over the sternum: A case report. Korean J Pathol. 2004;38:333-6.

Zvulunov A, Amichai B, Grunwald MH, Avinoach I, Halevy S. Cutaneous bronchogenic cyst: Delineation of a poorly recognized lesion. Pediatr Dermatol. 1998;15(4):277-81.

Manchanda V, Mohta A, Khurana N, Das S. Subcutaneous bronchogenic cyst. J Cutan Aesthet Surg. 2010;3(3):181-3.

Fraga S, Helwig EB, Rosen SH. Bronchogenic cysts in the skin and subcutaneous tissue. Am J Clin Pathol. 1971;56(2):230-8.

Beyer LG, English JC 3rd, Halbach DP. Presternal bronchogenic sinus with pedunculated lymphoid aggregate. Am J Dermatopathol. 2000;22(1):79-82.

Zvulunov A, Avinoach I. Branchial cleft anomalies and bronchogenic cysts are two unrelated disorders of embryogenesis. Pediatr Dermatol. 2000;17(4):332-3.

Pul N, Pul M. Bronchogenic cyst of the scapular area in an infant: A case report and review of literature. J Am Acad Dermatol. 1994;31(1):120-2.

Miller OF 3rd, Tyler W. Cutaneous bronchogenic cyst with papilloma and sinus presentation. J Am Acad Dermatol. 1984;11:367-71.

Sohoel P, Blom P, Mair IW. Subcutaneous bronchogenic anomalies. Ann Otol Rhino Laryngol. 1980;89:75-7.

Coleman WR, Homer RS, Kaplan RP. Branchial cleft heterotopia of lower neck. J Cutan Pathol. 1989;16(6):353-8.

Kim DH, Kim HK, Lee JW, Lee HI, Park KY, Li K, et al. A case of cutaneous bronchogenic cyst presenting with lymphoid follicles. Ann Dermatol. 2011;23(3):392-5.

Lee SJ, Lim TG, Won DH, Kim YK, Choi GS. A Case of cutaneous bronchogenic cyst. Korean J Dermatol. 2001;39:928-9.