Supraclavicular thoracic duct cyst: an unusual neck mass

Mediastinal Thoracic Duct Cyst Infection after Endoscopic Submucosal Dissection for Early Esophageal Cancer

“…Most thoracic duct cysts have been surgically removed in order to obtain a definitive diagnosis, relieve symptoms or prevent further growth, infection and possible malignant transformation ( 2 , 7 ). However, there is no single therapeutic approach for mediastinal thoracic duct cyst ( 8 ). Direct puncture sclerotherapy and aspiration have also been reported to be alternative methods of removing thoracic duct cysts, but the long-term effects of these treatments still need to be evaluated ( 4 , 9 , 10 ).…”

“…Although the risk of infection has been reported for mediastinal thoracic duct cyst, the infection rate may be very low ( 3 ). Given the rarity of these lesions, there is no treatment guideline for mediastinal thoracic duct cyst, and there is some controversy regarding the most appropriate mode of treatment ( 8 ). Conservative treatment is an option for mediastinal thoracic duct cysts if such patients are asymptomatic in order to avoid potential complications ( 10 ).…”