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Published on: May 16, 2020
The cisterna chyli: prevalence, characteristics and predisposing factors
Sebastian Feuerlein1, Georg Kreuzer, Stefan A Schmidt
1Department of Diagnostic and Interventional Radiology, University of Ulm, Ulm, Germany. sfeuerlein@yahoo.com
The cisterna chyli (CC) appears in 16.1% of patients, with a higher prevalence in those with malignancies. Large CCs are linked to an increased risk of cancer.
Area of Science:
- Radiology
- Anatomy
- Oncology
Background:
- The cisterna chyli (CC) is a key component of the lymphatic system.
- Understanding its prevalence and characteristics is crucial for diagnostic accuracy.
Purpose of the Study:
- To determine the prevalence and imaging characteristics of the cisterna chyli (CC).
- To identify potential predisposing factors for CC development.
- To investigate the association between CC and malignant disease.
Main Methods:
- Retrospective analysis of 3,000 contrast-enhanced CT scans of the chest and/or abdomen.
- Documentation of CC imaging characteristics (size, attenuation, location).
- Correlation with clinical information, including malignant disease and metastasis patterns.
Main Results:
- A cisterna chyli (CC) was identified in 16.1% of patients.
- Patients with malignancies showed a significantly higher CC prevalence (19.4%) compared to benign conditions (11.6%).
- A large CC (>1,000 microl) indicated an elevated relative risk for malignancy (1.7).
Conclusions:
- A significant association exists between malignant disease and the presence and size of the cisterna chyli (CC).
- Identifying CC continuity with the thoracic duct is a reliable method to differentiate it from lymph nodes.
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