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Cervical thoracic duct cyst : treatment options beyond resection

(2019) B-ENT. 15(3). p.233-238
Author
Organization
Abstract
Problems: A 48-year-old female patient presented with a left cervical thoracic duct cyst. Most previous reports on thoracic duct cysts have described open surgery with excision and ligation. However, less invasive treatment methods have proven effective. Methodology: Here, we describe a thoracic duct cyst that was refractory to aspiration or upstream clipping of the thoracic duct via video-assisted thoracoscopic surgery (VATS). Eventually, we performed percutaneous sclerotherapy with OK- 432 (Picibanil). Analysis of a fine-needle aspirate of the cystic mass confirmed the diagnosis. Results: Minimally invasive management with sclerotherapy completely resolved the cyst. Conclusions: Thoracic duct cysts can be treated successfully with a non-surgical sclerotherapy approach. Clipping the thoracic duct via VATS can prevent chyle accumulation in the thoracic duct cyst and resolve chyle leakage. Consequently, an open surgical approach can be avoided, but remains optional, in case minimally invasive management is unsuccessful.
Keywords
Thoracic duct, minimally invasive surgical procedures, VATS, sclerotherapy, cyst, picibanil, OK-432 THERAPY, SCLEROTHERAPY

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Citation

Please use this url to cite or link to this publication:

MLA
De Vriese, Casper, et al. “Cervical Thoracic Duct Cyst : Treatment Options beyond Resection.” B-ENT, vol. 15, no. 3, 2019, pp. 233–38.
APA
De Vriese, C., Deron, P., Genbrugge, E., De Ryck, F., Vermeersch, H., & Huvenne, W. (2019). Cervical thoracic duct cyst : treatment options beyond resection. B-ENT, 15(3), 233–238.
Chicago author-date
De Vriese, Casper, Philippe Deron, Eva Genbrugge, Frederic De Ryck, Hubert Vermeersch, and Wouter Huvenne. 2019. “Cervical Thoracic Duct Cyst : Treatment Options beyond Resection.” B-ENT 15 (3): 233–38.
Chicago author-date (all authors)
De Vriese, Casper, Philippe Deron, Eva Genbrugge, Frederic De Ryck, Hubert Vermeersch, and Wouter Huvenne. 2019. “Cervical Thoracic Duct Cyst : Treatment Options beyond Resection.” B-ENT 15 (3): 233–238.
Vancouver
1.
De Vriese C, Deron P, Genbrugge E, De Ryck F, Vermeersch H, Huvenne W. Cervical thoracic duct cyst : treatment options beyond resection. B-ENT. 2019;15(3):233–8.
IEEE
[1]
C. De Vriese, P. Deron, E. Genbrugge, F. De Ryck, H. Vermeersch, and W. Huvenne, “Cervical thoracic duct cyst : treatment options beyond resection,” B-ENT, vol. 15, no. 3, pp. 233–238, 2019.
@article{8633656,
  abstract     = {Problems: A 48-year-old female patient presented with a left cervical thoracic duct cyst. Most previous reports on thoracic duct cysts have described open surgery with excision and ligation. However, less invasive treatment methods have proven effective.
Methodology: Here, we describe a thoracic duct cyst that was refractory to aspiration or upstream clipping of the thoracic duct via video-assisted thoracoscopic surgery (VATS). Eventually, we performed percutaneous sclerotherapy with OK- 432 (Picibanil). Analysis of a fine-needle aspirate of the cystic mass confirmed the diagnosis.
Results: Minimally invasive management with sclerotherapy completely resolved the cyst.
Conclusions: Thoracic duct cysts can be treated successfully with a non-surgical sclerotherapy approach. Clipping the thoracic duct via VATS can prevent chyle accumulation in the thoracic duct cyst and resolve chyle leakage. Consequently, an open surgical approach can be avoided, but remains optional, in case minimally invasive management is unsuccessful.},
  author       = {De Vriese, Casper and Deron, Philippe and Genbrugge, Eva and De Ryck, Frederic and Vermeersch, Hubert and Huvenne, Wouter},
  issn         = {1781-782X},
  journal      = {B-ENT},
  keywords     = {Thoracic duct,minimally invasive surgical procedures,VATS,sclerotherapy,cyst,picibanil,OK-432 THERAPY,SCLEROTHERAPY},
  language     = {eng},
  number       = {3},
  pages        = {233--238},
  title        = {Cervical thoracic duct cyst : treatment options beyond resection},
  volume       = {15},
  year         = {2019},
}

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