Takahashi C, Hanyuda M, Fukaya Y, Nohara H, Morimoto M, Iida F
Second Department of Surgery, Shinsyu University School of Medicine, Matsumoto, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1990 Jul;38(7):1214-8.
A case of thoracic duct cyst was reported. The patient, 72 year old man, was admitted with chief complaint of dysphagia. Chest X-ray film demonstrated an ovoid mass at the right upper mediastinum and the esophagus pressed by the tumor to the right. CT scan showed a round tumor with obscure margin located at the right upper mediastinum. Other laboratory data were almost within normal limits. Thoracotomy was performed on March 26, 1987 under diagnosis of leiomyoma of the esophagus. A fluid containing cyst covered with pleura was found at the upper mediastinum. The tumor was connected to the thoracic duct at its upper and lower portion. The cyst was isolated by sharp and blunt dissection without difficulties and removed. The cyst measured 7.5 X 4.5 X 4.5 cm and contained chyle. Pathological examination revealed no evidence of malignancy. Postoperative course of this patient was uneventful, and dysphagia was disappeared.
报告了一例胸导管囊肿病例。患者为一名72岁男性，因吞咽困难为主诉入院。胸部X光片显示右上纵隔有一个椭圆形肿块，肿瘤将食管压向右侧。CT扫描显示右上纵隔有一个边缘模糊的圆形肿瘤。其他实验室检查数据几乎在正常范围内。1987年3月26日在诊断为食管平滑肌瘤的情况下进行了开胸手术。在上纵隔发现一个被胸膜覆盖的含液囊肿。肿瘤在其上下部分与胸导管相连。通过锐性和钝性分离顺利地将囊肿分离并切除。囊肿大小为7.5×4.5×4.5厘米，内含乳糜。病理检查未发现恶性证据。该患者术后恢复顺利，吞咽困难消失。
