Thoracic duct cyst: Sclerotherapy as alternative for surgical treatment

Dool, Johannes J.; Bree, Remco de; Berg, René van den; Leemans, C. René

doi:10.1002/hed.20497

Cited by 15 publications

(16 citation statements)

References 10 publications

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“…These were common symptoms because of the pressure on adjacent structures. [6][7][8][9] There was a 42-year-old male patient complaining of sharp left upper quadrant pain occurring 1-2 h after meal, and relieved by milk and bicarbonate of soda. 10) With the help of histodiagnosis after the exploratory thoracotomy, a mediastinal thoracic duct cyst was confirmed.…”

Section: Discussionmentioning

confidence: 99%

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A Giant Thoracic Duct Cyst as the Cause of Abdomen Pain: A Case Report and Review of the Literature

Wan

Zhou

2015

ATCS

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Thoracic duct cysts, which may be of congenital or degenerative origin, are very rare lesions. Most patients are asymptomatic, but when symptoms are present they include cough, dyspnea, dysphagia and chest pain. However, in this case report a 35-year-old male patient presented to us with intermittent abdomen pain. Clinical symptoms and radiographic findings helped to identify a giant thoracic duct cyst in this patient. Surgical resection of the cyst resolved the abdominal symptoms. This was the first case reported in the literature of a thoracic duct cyst with the symptoms of abdominal pain.

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Section: Discussionmentioning

confidence: 99%

“…Surgical resection of the cyst is usually recommended; however, direct puncture sclerotherapy was reported to be an alternative method, 9,13) the long term effect still need to be evaluated. In fact most of the patients received more active therapy either with surgery or sclerotherapy.…”

Section: Discussionmentioning

confidence: 99%

A Giant Thoracic Duct Cyst as the Cause of Abdomen Pain: A Case Report and Review of the Literature

Wan

Zhou

2015

ATCS

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“…There have been a few case reports of sclerotherapy for similar lesions using povidone-iodine,2 OK-4323 4 and ethanol5 which have all been used successfully. Successful treatment of lymphangiomas with acetic acid has also been reported.…”

Section: Discussionmentioning

confidence: 99%

“…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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“…1 Sclerotherapy of similar lesions has only been described in a handful of cases using povidone iodine, 2 OK-432 3 4 and ethanol. 5…”

Section: Introductionmentioning

confidence: 99%

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

2013

View full text Add to dashboard Cite

A 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.

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Thoracic duct cyst: Sclerotherapy as alternative for surgical treatment

Abstract: Ethanol sclerotherapy provides an alternative therapy for thoracic duct cyst when evaluation establishes a high likelihood of clinical diagnosis.

Cited by 15 publications

References 10 publications

A Giant Thoracic Duct Cyst as the Cause of Abdomen Pain: A Case Report and Review of the Literature

A Giant Thoracic Duct Cyst as the Cause of Abdomen Pain: A Case Report and Review of the Literature

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

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

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