Lymphocele of the thoracic duct presenting as a left supraclavicular mass: a case report and review of the literature

Lecanu, J.-B.; Gallas, D.; Biacabe, B; Bonfils, P.

doi:10.1016/s0385-8146(00)00118-8

Cited by 25 publications

(18 citation statements)

References 13 publications

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“…tetracycline, povidone-iodine, ethanol, or OK-432 [3][4][5][6]. However, most of the authors advocate surgical treatment considering the lack of data regarding the natural history of this condition and also to prevent potential complications such as traumatic or spontaneous rupture [3,4].…”

Section: E24mentioning

confidence: 99%

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Conservative management of cervicomediastinal chyloma in an infant

Spagnol

Zani

D’Ambrosio

et al. 2009

Journal of Pediatric Surgery

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Section: E24mentioning

confidence: 99%

“…However, most of the authors advocate surgical treatment considering the lack of data regarding the natural history of this condition and also to prevent potential complications such as traumatic or spontaneous rupture [3,4]. To date, postoperative mediastinal chyloma has been described in only 4 adult patients [7][8][9][10].…”

Section: E24mentioning

confidence: 99%

Conservative management of cervicomediastinal chyloma in an infant

Spagnol

Zani

D’Ambrosio

et al. 2009

Journal of Pediatric Surgery

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“…Thoracic duct cysts with supraclavicular extension are a rare entity with only several case reports in the literature, mostly describing diagnosis and surgical treatment 1. Sclerotherapy of similar lesions has only been described in a handful of cases using povidone iodine,2 OK-4323 4 and ethanol 5…”

Section: Introductionmentioning

confidence: 99%

Direct puncture sclerotherapy of a thoracic duct cyst presenting as an enlarging left supraclavicular mass

Kadkhodayan¹,

Yano

Cross

2013

J NeuroIntervent Surg

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SUMMARYA 58-year-old woman presented with a palpable mass at the base of the left neck which she had first noticed 12 years previously, shortly after abdominal surgery. The mass had progressively enlarged, resulting in dysphagia, dyspnea and occasional pain. Imaging showed a septated but otherwise simple cystic mass extending into the mediastinum and containing lymphocytic fluid on aspiration. A diagnosis of the rare entity of a thoracic duct cyst with supraclavicular extension was made. The patient opted for percutaneous sclerotherapy of the lesion, which was performed using glacial acetic acid. This resulted in complete resolution of the mass with one treatment. After exclusion of other causes of cystic left supraclavicular masses including cystic neoplasms and pseudoaneurysms of the carotid or subclavian arteries, direct puncture sclerotherapy can be safe and effective. BACKGROUND

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“…It has been postulated that they develop as result of either congenital weakness in the thoracic duct wall or from an acquired degenerative process affecting the structure, possibly related to inflammatory changes . Trauma may be another factor that could cause deficiencies in the duct wall . If the aetiology is indeed congenital duct wall weakness, then the next question is what causes its outpouching and subsequent collection of lymph at a certain time point.…”

mentioning

confidence: 99%