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題 名 | Thoracic Duct Cyst--Case Report and Literature Review=胸管囊腫--病例報告與文獻回顧 |
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作 者 | 陸希平; 陳晉興; 張逸良; 李元麒; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 31:3 民87.05-06 |
頁 次 | 頁196-199 |
分類號 | 416.226 |
關鍵詞 | 胸管囊腫; Thoracic duct; Thoracoscope; |
語 文 | 英文(English) |
中文摘要 | 在本文中將報告一十分罕見的胸管囊腫病例。病人為53歲女性,因持續咳嗽及喉 部不適而就醫,意外發現一上後縱膈腔囊腫。手術中發現囊腫自胸管位置膨出,其內容物成乳 白濃濁貌,手術方式為將囊腫切除並將兩端連通胸管處結紮,病人術後恢復良好,病理切片 證實為胸管囊腫。這種病人目前世界僅十餘例臨床病例報告,多半術後才得知診斷,其表現 以左頸部或後縱膈腔腫瘤為主,大小常因飽餐之後產生變化,其病因仍不明,治療方式:無症 狀者可觀察,有症狀或須鑑別診斷者則須手術治療,預後一般良好。 |
英文摘要 | Thoracic duct cyst has rarely been reported. In this report, we present a 53-year-old female with this disease. She had complained of sore throat and swallowing disturbance for months. A left superior mediastinal cystic lesion was found accidentally by chest roentgenogram. VATS operation was undertaken. A 4×3×3 cm3 thin-walled cyst was found over the apex of the left thoracic cavity. It communicated with the thoracic duct, and contained milk-white, turbid fluid. This cyst was excised with ligation of its communicating branches with the thoracic duct. Thoracic duct cyst was proved by pathological examination. Her postoperative course was smooth. There are only eighteen cases of thoracic duct cyst reported in previous literature. The cyst usually manifested itself as a left mediastinal or neck mass, which might be asymptomatic or cause various degrees of throat discomfort or swallowing disturbance. Its size would enlarge after eating. Differential diagnosis should be made with other mediastinal tumors or cysts. Surgical intervention is indicated for patients with symptoms or uncertain diagnosis. The prognosis is generally good. The present patient, as we know, is the first case of thoracic duct cyst in Taiwan. |
本系統中英文摘要資訊取自各篇刊載內容。