Madnani Dilip, Myssiorek David
Department of Otolaryngology and Communicative Disorders, Long Island Jewish Medical Center, Long Island Campus, Albert Einstein College of Medicine, New Hyde Park, N.Y., 270-05 76th Ave., New Hyde Park, NY 11040, USA.
Ear Nose Throat J. 2003 Jul;82(7):522-4.
Cervical chylomas are rare entities, as only four cases have been previously reported. All of these previous cases involved the left side, all were related to the thoracic duct, and all occurred following trauma or surgery. We report a new case of a left-sided chyloma that was unusual because it arose following a right-sided subtotal thyroidectomy. The chyloma arose as a left supraclavicular mass within 3 months of the thyroidectomy, and it slowly enlarged over a period of 9 years. Following evaluation by computed tomography, the mass was excised, and the patient recovered uneventfully. We also review what is known about the diagnosis and treatment of cervical chylomas.
颈部乳糜瘤是罕见的疾病，此前仅报道过4例。之前所有这些病例均累及左侧，均与胸导管有关，且均发生于创伤或手术后。我们报告1例左侧乳糜瘤新病例，该病例不同寻常之处在于它发生于右侧甲状腺次全切除术后。乳糜瘤在甲状腺切除术后3个月内表现为左锁骨上肿块，并在9年时间里缓慢增大。经计算机断层扫描评估后，切除了肿块，患者顺利康复。我们还回顾了关于颈部乳糜瘤诊断和治疗的已知情况。
