Thoracoscopic resection of multiple Müllerian cysts

Document Type

Journal Article

Publication Date

11-1-2015

Journal

Annals of Thoracic Surgery

Volume

100

Issue

5

DOI

10.1016/j.athoracsur.2015.01.076

Abstract

© 2015 The Society of Thoracic Surgeons. Müllerian cysts in the mediastinum were first described by Hattori in 2005 [1]. We report the first known case of multiple müllerian cysts in the thorax in a 35-year-old woman with cough and an abnormal chest roentgenogram. Multiple bilateral cysts were resected thoracoscopically. Histologic examination showed benign ciliated tubal epithelium that stained positive with immunohistochemical stains for estrogen receptor (ER), cancer antigen 125 (CA-125), Wilms' tumor protein 1 (WT-1), and paired box gene 8 (PAX8), confirming müllerian origin. We also review the embryogenesis and pathologic characteristics of müllerian cysts and the rare occurrence of their migration to the thorax.

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