Abstract
A 39-year-old woman was admitted to the hospital because of an abnormal shadow on chest roentgenogram, which became larger gradually since it was first detected at a medical check up 7 years before. Chest CT suggested that it was a benign posterior mediastinal tumor. Thoracoscopic surgery was performed. The tumor was cystic and 3cm in diameter, being adjacent to the descending aorta and esophagus. The tumor was extirpated by thoracoscopic procedure combined with esophagoscopy because the tumor severely adhered to the longitudinal muscle of the esophagus. The was milk-white fluid in the tumor and pathological diagnosis was bronchogenic cyst. We think that benign paraesophageal bronchogenic cyst is a candidate for the thoracoscopic surgery. Combined use of esophagoscopy, however, is useful safely and easily to extirpate a tumor which severely adhered to the esophagus like this case.
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