Cervical thoracic duct cyst: a differential diagnosis of left supraclavicular swelling

2007 ◽  
Vol 264 (7) ◽  
pp. 797-799 ◽  
Author(s):  
Lise Moesgaard ◽  
Steen Baerentzen ◽  
Frank Mirz
Keyword(s):  
Differential Diagnosis ◽  
Thoracic Duct ◽  
Duct Cyst

Thoracic duct cysts: A rare differential diagnosis

2005 ◽  
Vol 132 (2) ◽  
pp. 330-333 ◽  
Author(s):  
Frank Gottwald ◽  
Heinrich Iro ◽  
Carsten Finke ◽  
Johannes Zenk
Keyword(s):  
Differential Diagnosis ◽  
Thoracic Duct ◽  
Jugular Vein ◽  
Primary Diagnosis ◽  
Imaging Method ◽  
Left Internal Jugular Vein ◽  
Duct Cyst ◽  
X Ray ◽  
Adjacent Structures ◽  
Rare Differential Diagnosis

OBJECTIVE: Cysts of the thoracic duct located in the supraclavicular region are uncommon. To date only 12 cases in this topographic area have been described in the literature. Between 1998 and 2002, 5 patients presented to our department with the primary symptom of a palpable soft left-supracavicular swelling that could be displaced relative to adjacent structures. SETTING: In each case, sonography showed a hypoechogenic, almost echo-free, distinctly outlined polycyclic structure with distal echo enhancement at the junction of the left internal jugular vein and the subclavian vein. All 5 patients underwent surgery, the cysts were extirpated, and the numerous communicating lymph vessels localized and meticulously ligated. Pathohistologic analysis of the milky, yellowish fluid obtained by intraoperative puncture confirmed the initial suspicion of a thoracic duct cyst in all patients. CONCLUSION: In the case of left supraclavicular masses, the rare differential diagnosis of a thoracic duct cyst must be considered as a possibility. Sonography as the imaging method of choice is sufficient for primary diagnosis. In addition, a thorax x-ray should be performed in order to exclude an intrathoracic involvement. Surgical extirpation marks the therapy of choice in treating such cysts.

scholarly journals Thoracic duct cyst of posterior mediastinum: a “challenging” differential diagnosis

2016 ◽  
Vol 4 (9) ◽  
pp. 166-166
Author(s):  
Michalopoulou-Manoloutsiou Electra ◽  
Athanasiou Evangelia ◽  
Bobos Mattheos ◽  
Hatzibougias I. Dimitris ◽  
Paul Zarogoulidis ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Thoracic Duct ◽  
Posterior Mediastinum ◽  
Duct Cyst

scholarly journals Large thoracic duct cyst – a case report and review of the literature

2000 ◽  
Vol 17 (6) ◽  
pp. 754-756 ◽  
Author(s):  
Alexandros Karajiannis ◽  
Thorsten Krueger ◽  
Eduard Stauffer ◽  
Hans-Beat Ris
Keyword(s):  
Case Report ◽  
Thoracic Duct ◽  
Review Of The Literature ◽  
Duct Cyst

Thoracic duct cyst presenting as abdominal pain

Surgery ◽  
2018 ◽  
Vol 163 (6) ◽  
pp. 1324
Author(s):  
Ahmed Abu-Zaid ◽  
Ali Mohammed Alakhtar ◽  
Faisal Dkhalallah Alshamdin ◽  
Waleed Saleh
Keyword(s):  
Abdominal Pain ◽  
Thoracic Duct ◽  
Duct Cyst

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

2013 ◽  
Vol 2013 (oct30 1) ◽  
pp. bcr2013010844-bcr2013010844 ◽  
Author(s):  
Y. Kadkhodayan ◽  
M. Yano ◽  
D. T. Cross
Keyword(s):  
Thoracic Duct ◽  
Duct Cyst ◽  
Direct Puncture

Thoracoscopic resection of a thoracic duct cyst that developed during follow-up for a thymic cyst

2011 ◽  
Vol 59 (2) ◽  
pp. 133-136 ◽  
Author(s):  
Yuji Taniguchi ◽  
Ken Miwa ◽  
Yoshin Adachi ◽  
Shinji Fujioka ◽  
Tomohiro Haruki ◽  
...  
Keyword(s):  
Thoracic Duct ◽  
Thymic Cyst ◽  
Thoracoscopic Resection ◽  
Duct Cyst

Submandibular salivary duct cyst mimicking an external laryngocele

2000 ◽  
Vol 114 (4) ◽  
pp. 305-307 ◽  
Author(s):  
G. W. Back ◽  
F. Fahmy ◽  
A. Hosni
Keyword(s):  
Computed Tomography ◽  
Differential Diagnosis ◽  
Unusual Case ◽  
Ct Scanning ◽  
Valsalva Manoeuvre ◽  
Cystic Lesions ◽  
Salivary Duct ◽  
Duct Cyst ◽  
Submandibular Region ◽  
Salivary Duct Cyst

The clinical and radiological differential diagnosis of cystic lesions of the submandibular region can be difficult. We report an unusual case of a submandibular salivary duct cyst mimicking an external laryngocele on presentation by appearing to expand on Valsalva manoeuvre, and where computed tomography (CT) scanning was unhelpful in reaching a diagnosis. We present the case, discuss the theories of pathogenesis, and review the literature on the differential diagnosis of cystic lesions in the submandibular region.

scholarly journals Submental epidermoid cysts in children

Open Medicine ◽  
2014 ◽  
Vol 10 (1) ◽  
Author(s):  
Rafal Zielinski ◽  
Anna Zakrzewska
Keyword(s):  
Differential Diagnosis ◽  
Present Report ◽  
Cystic Hygroma ◽  
Gland Tumor ◽  
Duct Cyst ◽  
Retention Cyst ◽  
Epidermoid Cysts ◽  
Pathological Conditions ◽  
Choice Of Treatment ◽  
Laryngeal Cyst

AbstractEpidermoid cysts are lesions, which form as a result of implantation of the epidermis in the layers of the dermis or the mucous membrane. The lesions are rare in adults with 7% occurring in the head and neck area and most often located in the submental region. In children population submental epidermoid cysts are extremely rare. The differential diagnosis of the lesions is necessary as it affects the choice of treatment methods. Among the pathological conditions occurring in that region, salivary retention cyst (ranula), thyroglossal duct cyst, vascular lymphatic malformation (cystic hygroma), median neck cyst, lymphadenopathy, thyroid gland tumor, laryngeal cyst, epidermoid and dermoid cysts, submental abscess, sialolithiasis and salivary gland inflammation should be considered. The authors of the present report demonstrate two cases of submental epidermoid cysts in children. Differential diagnosis in case of suspected submental epidermoid cyst in a child with proposed clinical practice and literature review is provided.

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

2009 ◽  
Vol 24 (2) ◽  
pp. 82-84 ◽  
Author(s):  
Yan An Wang ◽  
Zhi Yuan Zhang ◽  
Jia Wei Zheng ◽  
Wei Min Ye ◽  
Li Zhen Wang ◽  
...  
Keyword(s):  
Chemical Analysis ◽  
Fine Needle Aspiration ◽  
Thoracic Duct ◽  
Needle Aspiration ◽  
Management Options ◽  
Duct Cyst ◽  
Fine Needle ◽  
Duct Ligation ◽  
Supraclavicular Fossa ◽  
Rare Differential Diagnosis

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.

The recurrent cervical swelling syndrome

2011 ◽  
Vol 27 (2) ◽  
pp. 90-92 ◽  
Author(s):  
C Franceschi ◽  
S Gianesini ◽  
A Bahnini ◽  
C Laurian ◽  
E Menegatti ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Thoracic Duct ◽  
Colour Doppler ◽  
Supraclavicular Fossa ◽  
Cervical Swelling

The objective of this study is to report an overlooked cause of cervical swelling linked to a thoracic duct (TD) intraluminal obstruction. Four consecutive patients underwent supraclavicular fossa echo-colour-Doppler assessment (ECD) because of recurrent spontaneous cervical swelling. In all patients, during the swelling period we documented a TD dilation with hyperechogenic content, resulting undetectable during asymptomatic periods; ECD also allowed an effective differential diagnosis with TD cysts, obstructive malignancy or other causes of cervical swelling. In conclusion, ECD is to be considered an effective tool in cervical swelling and TD anomalies investigation.

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