Lymphangiographic Demonstration of Thoracic Duct Cyst

Hori, Shingo; Harada, K.; Morimoto, S; Uchida, Hideo; Okumura, Kenzo

doi:10.1378/chest.78.4.652

Cited by 19 publications

(8 citation statements)

References 7 publications

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“…Today, these investigations© are© no© longer© indicated. [1][2][3][4][5][6][7][8][9][10] Fig 3 . Postoperative cyst after needle aspiration of contents in a 68-year-old patient. Typical yellowish milky secretion in the syringe.…”

Section: Discussionmentioning

confidence: 99%

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Thoracic duct cysts: A rare differential diagnosis

Gottwald

Iro

Finke

et al. 2005

Otolaryngol.--head neck surg.

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Section: Discussionmentioning

confidence: 99%

“…Such reports date from before the era of MRI, however. Today, these investigations are no longer indicated 1–10 …”

Section: Discussionmentioning

confidence: 99%

Thoracic duct cysts: A rare differential diagnosis

Gottwald

Iro

Finke

et al. 2005

Otolaryngol.--head neck surg.

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“…Since that time, five more cases have been reported. [8][9][10][11][12] There have been only two reports of supraclavicular thoracic duct cysts in the literature.li2…”

Section: Discussionmentioning

confidence: 99%

Thoracic duct cyst: An unusual supraclavicular mass

Wax

Treloar

1992

Head & Neck

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Lesions of the thoracic duct may occur either in the neck or the mediastinum. The majority of lesions that present in the neck consist of chylous fistulae and are secondary to neck surgery. Cysts of the thoracic duct are very rare and are usually reported as a disease entity of the mediastinum. There are only two reported cases in the literature of thoracic duct cysts occurring in the neck. The third case of a thoracic duct cyst located primarily in the neck is reported. Thoracic duct cysts in the neck must be differentiated from other cysts of the neck, because not recognizing the inferior attachment to the thoracic duct, may result in the disastrous consequence of a chylothorax. Diagnosis can easily be made by fine-needle aspiration with biochemical analysis. Computerized axial tomography (CAT) is useful in defining the anatomic boundaries. A weakness in the wall of the thoracic duct, either on a congenital or degenerative basis, has been postulated as the etiology. The natural history of these lesions remains unknown. Smaller lesions may be followed at routine intervals. Larger lesions should be surgically removed because of the possible complications that may ensue as a result of traumatic rupture or inflammation.

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Section: Case Reportmentioning

confidence: 99%

“…The cell count of the cystic fluid was 0.8 x 10 9 cells per liter. Microscopic analysis revealed that Cervantes-Peres and Fuentes-Maldonado 7 Gowar 8 Luosto et al 9 den Otter 10 Horietal 11 Tsuchiya et al 12 Morettin and Allen 13 Adachi et al 14 Takahashi et al 15 Mori et al 16 Muramatsu et al 17 Okabe et al 18 Lamers and van Belle 19 the cells of the cystic fluid were lymphocytes and that neutrophils, macrophages, and epithelial cells were absent. Flow cytometric analysis showed that more than 99% of the lymphocytes were CD3-positive T lymphocytes.…”

Section: Case Reportmentioning

confidence: 99%

Thoracic Duct Cyst: A Case Report and Review of 29 Cases

Mattila¹,

Tarkkanen²,

Mattila³

1999

Ann Otol Rhinol Laryngol

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Cysts of the thoracic duct are rare. We report a case of a cervical thoracic duct cyst and review 29 thoracic duct cysts reported previously (19 mediastinal, 9 cervical, and 1 abdominal). The mean age of the patients was 47.6 years (range 17 to 86 years). Fourteen (46.7%) of the patients were asymptomatic. When symptoms were present, they ranged from retrosternal pain, dysphagia, and dyspnea to respiratory insufficiency and superior vena cava compression. Diagnosis of the cyst can be made after computed tomography or ultrasonography. The cystic fluid contains T lymphocytes and triglycerides in excess. The symptoms in a patient with a thoracic duct cyst are related to compression of adjacent structures. The most profound symptoms are likely to be produced by mediastinal cysts above the aortic arch. Treatment consists of surgical removal of the cyst and ligation of all lymphatics connected to the cyst.

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Lymphangiographic Demonstration of Thoracic Duct Cyst

Cited by 19 publications

References 7 publications

Thoracic duct cysts: A rare differential diagnosis

Thoracic duct cysts: A rare differential diagnosis

Thoracic duct cyst: An unusual supraclavicular mass

Thoracic Duct Cyst: A Case Report and Review of 29 Cases

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