Okazaki T, Shinkai M, Fujiwara H, Nasu M, Nishiuchi S, Shiyoumura T
Department of Thoracic Surgery, Kobe General Hospital, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1996 Jun;44(6):830-4.
The patient was a 59-year-old man with a 5-month history of cough, difficulty breathing, and palpitations while working. Initial examination at the internal medicine department of our hospital in August 1992 revealed a mass in the left side of the neck, and he was admitted for further examination and treatment. Preoperative investigations revealed a cystic lesion extending from the left neck area to the mediastinum. The mass was resected on August 13, 1992. Based on the intraoperative findings and postoperative histological examination, a diagnosis of thoracic duct cyst was made. The postoperative course was good and the patient was discharged after two weeks. This is extremely rare case, and the Trap door surgical approach proved useful for resection.
患者为一名59岁男性，有5个月工作时咳嗽、呼吸困难和心悸的病史。1992年8月在我院内科进行的初步检查发现颈部左侧有一个肿块，遂入院进一步检查和治疗。术前检查发现一个囊性病变，从左颈部区域延伸至纵隔。1992年8月13日切除了该肿块。根据术中发现及术后组织学检查，诊断为胸导管囊肿。术后病程顺利，患者两周后出院。这是极为罕见的病例，活板门手术方法经证明对切除手术有用。
