Maruyama M, Kobayashi S, Kasuga Y, Fujimori M, Yokoyama S, Shingu K, Hama Y, Ito K, Kato R, Amano J
Department of Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
Ulster Med J. 1997 Nov;66(2):140-3.
A 28-year-old female attended an outpatient clinic in October, 1989, because of a tumor in the left supraclavicular fossa, detected in a health examination. Following exploratory puncture of the tumor which yielded milky-white fluid, suggesting a cyst in the thoracic duct, she was admitted to our department. The cyst was unilocular measuring about 6 cm in diameter, and the fluid content was chyle-rich in lipids. Lymphography demonstrated a lymphatic structure adjacent to the lesion and scattered lymph vessels on the cyst surface. On November 16 the cyst was resected. A restiform structure was observed between the cyst and the thoracic duct, but the presence or absence of communication was unclear. The histological diagnosis was thoracic duct cyst. Thoracic duct cyst occurring in the cervical region is very rare. Our case may provide useful information as to its pathogenesis and the mode of retention of cyst fluid.
一名28岁女性因在健康检查中发现左锁骨上窝有一肿瘤，于1989年10月前往门诊就诊。对该肿瘤进行穿刺探查后，抽出乳白色液体，提示为胸导管囊肿，随后她被收入我科。该囊肿为单房性，直径约6厘米，囊液富含脂质。淋巴造影显示病变附近有淋巴管结构，囊肿表面有散在的淋巴管。11月16日切除了囊肿。在囊肿与胸导管之间观察到绳状结构，但二者是否相通尚不清楚。组织学诊断为胸导管囊肿。发生于颈部的胸导管囊肿非常罕见。我们的病例可能为其发病机制及囊液潴留方式提供有用信息。
