Thoracic Duct Cyst in Mediastinum - A case report -

Kwak, Mu-yeop; Bae, Chi-Hoon

doi:10.5090/kjtcs.2011.44.1.83

Cited by 9 publications

(9 citation statements)

References 5 publications

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“…Resection is often recommended to confirm histology and to prevent spontaneous rupture and subsequent chylothorax. [ 4 ] TDCs are also removed for symptomatic relief and to reduce the theoretical risk of potential malignant transformation, although there have not yet been any published cases that describe malignant transformation.…”

Section: Discussionmentioning

confidence: 99%

Robotic resection of a thoracic duct cyst

Napolitano

Mortman

2020

J Min Access Surg

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A 69-year-old male presented with back tightness. Computed tomography revealed a 5 cm × 3 cm cystic para-oesophageal mass. A right robotic-assisted thoracoscopic resection was performed. Final pathology revealed a thoracic duct cyst (TDC). Robotic resection of a TDC has not been described in the literature previously but is shown in this report to be an effective and efficient way to perform the procedure. We suspect that robotic resection of mediastinal masses such as TDCs will become more common. Further studies comparing robotic to non-robotic resection of mediastinal masses would be helpful to determine the preferred treatment while minimising morbidity, length of stay and cost.

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Section: Discussionmentioning

confidence: 99%

Robotic resection of a thoracic duct cyst

Napolitano

Mortman

2020

J Min Access Surg

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“…In magnetic resonance imaging, signals indicating a high concentration of lipids in the cyst can aid in the diagnosis. Fine-needle aspiration is another option; however, the diagnosis should then be pathologically confirmed after surgical resection [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…Typically, thoracic duct cysts are treated using surgical resection [ 6 ]. Although some reports have argued that surgical resection is unnecessary, surgical resection of thoracic duct cysts should be performed to avoid chylothorax if the cyst ruptures into the pleural cavity [ 6 ]. Chylothorax is the most common postoperative complication, making ligation of all branches of the thoracic duct mandatory [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Aberrent Thoracic Duct Cyst in Postrior Mediastinum

Park

Choi

2015

Korean J Thorac Cardiovasc Surg

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Thoracic duct cysts in the upper portion of the diaphragm are mostly found in the neck and are rarely found in the mediastinum. Thoracic duct cysts should be differentiated from other mediastinal tumors or cysts, and surgical treatment is required to avoid the development of chylothorax if the cyst ruptures. Herein, we report the case of a patient with a thoracic cyst located just above the diaphragm that was treated with surgical resection.

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“…Kwak and Bae [6] reported that they ligated the thoracic duct and that the chylothorax was not observed thereafter. In the case of a mediastinal cystic mass that is adjacent to the esophagus, the mass may originate from the thoracic duct.…”

Section: Discussionmentioning

confidence: 99%

Surgical Resection of Thoracic Duct Lymphangioma

Bok

Jun

Lee

et al. 2014

Korean J Thorac Cardiovasc Surg

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A 67-year-old male patient came to the hospital due to lung cancer and mediastinal cystic mass which was suspected to be esophageal duplication cyst. Video-assisted thoracoscopic surgery (VATS) was performed and intra-operative finding suggested it as a cystic mass along the thoracic duct. Thoracic duct was ligated and the cyst was completely resected. A 48-year-old female patient visited the hospital for dysphagia. Mediastinal cystic mass was suspected to be an esophageal duplication cyst. Intraoperative finding suggest a thoracic duct lymphangioma. After thoracic duct ligation, the mass was completely resected with VATS. Postoperative chylothorax did not develop in both cases.

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Thoracic Duct Cyst in Mediastinum - A case report -

Abstract: The thoracic duct cyst is an extremely rare cystic lesion in the mediastinum. Surgical treatment of the cyst is necessary to confirm histologic diagnosis and prevent potential complications such as spontaneous or traumatic rupture of the cyst and chylothorax.

Cited by 9 publications

References 5 publications

Robotic resection of a thoracic duct cyst

Robotic resection of a thoracic duct cyst

Aberrent Thoracic Duct Cyst in Postrior Mediastinum

Surgical Resection of Thoracic Duct Lymphangioma

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