Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
2876359 | The Annals of Thoracic Surgery | 2012 | 4 Pages |
Abstract
Mediastinal thoracic duct cysts are rare clinical findings. We report the case of a symptomatic 58-year-old woman in whom a thoracic duct cyst was successfully treated with surgical resection. Preoperative endobronchial ultrasonography revealed an oval-shaped hypoechoic area with a distinct, thick pedicle, gradual intermittent flux of the fluid content within the lesion, and endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) revealed lymphocyte predominant serous fluid without malignancy, which is consistent with features of a mediastinal thoracic duct cyst. We postulate that EBUS-TBNA can be used as a preoperative diagnostic tool for patients with possible mediastinal thoracic duct cysts.
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Authors
Hironobu MD, PhD, Shigetoshi MD, PhD, Aki MD, PhD, Kazuhiro MD, PhD, Ichiro MD, PhD, Hideki MD, PhD,