Spontaneous thoracic duct cyst presenting as a left supraclavicular mass – report of a case and review of literature

Author:

Wang Yan An1,Zhang Zhi Yuan1,Zheng Jia Wei1,Ye Wei Min1,Wang Li Zhen2,Zhu Han Guang1

Affiliation:

1. Department of Oral and Maxillofacial Surgery, School of Stomatology, Ninth People's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200011, China

2. Department of Pathology, School of Stomatology, Ninth People's Hospital, School of Medicine, Shanghai Jiao Tong University

Abstract

Spontaneous and asymptomatic supraclavicular thoracic duct cysts occurring in the neck are the rarest. We report a case of a huge thoracic duct cyst occurring in the supraclavicular fossa with a review of the literature and management options. A 28-year-old female had a left supraclavicular mass with a 10-year history. A cervical thoracic duct cyst was diagnosed after chemical analysis of the milky fluid obtained by preoperative fine-needle aspiration. Treatment was achieved by surgical excision of the cyst and thoracic duct ligation. Pathological analysis of the cyst after excision confirmed the diagnosis. In the case of left supraclavicular masses, the rare differential diagnosis of thoracic duct cysts must be considered as a possibility. Magnetic resonance imaging as the imaging method of choice and chemical analysis of the milky fluid obtained by preoperative fine-needle aspiration are sufficient for primary diagnosis. The treatment of this disease consists of simple excision.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine

Cited by 13 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. [Artículo Traducido] Masa cervical espontánea;Actas Dermo-Sifiliográficas;2024-06

2. Spontaneous retropharyngeal and mediastinal thoracic duct cyst in an infant with respiratory distress;International Journal of Pediatric Otorhinolaryngology;2018-02

3. Lymphocele of Neck;Imaging in Otolaryngology;2018

4. Quiste cervical del conducto torácico: una rara entidad;Cirugía y Cirujanos;2017-12

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