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Cyst of the right lymphatic duct
I Stárek1, R Salzman1, Z Pokorná1
1Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Olomouc, Faculty of Medicine and Dentistry, Palacký University Olomouc, I.P. Pavlova 6, 77900 Olomouc, Czech Republic.
European Annals of Otorhinolaryngology, Head and Neck Diseases
|October 5, 2019
Summary
Cysts from the right lymphatic duct are exceptionally rare but important for diagnosing supraclavicular masses. Surgical removal with ligation of feeding lymphatic vessels is often recommended.
Area of Science:
- Vascular Surgery
- Anatomical Pathology
Background:
- Cervical lymphatic duct cysts are rare, posing diagnostic challenges for supraclavicular masses.
- Most cysts originate from the thoracic duct; right lymphatic duct cysts are exceptionally uncommon.
Observation:
- This case report details a rare cyst originating from the right lymphatic duct.
- Analyzed potential reasons for the significant incidence difference between thoracic and right lymphatic duct cysts.
Findings:
- Cysts present as asymptomatic supraclavicular swellings, diagnosed via imaging.
- Aspirates with high T-lymphocyte and triglyceride levels are pathognomonic.
- Surgical excision is the generally recommended therapy.
Implications:
- Understanding the rarity and diagnosis of right lymphatic duct cysts aids differential diagnosis.
- Intraoperative ligation of lymphatic vessels is crucial to prevent lymph leakage post-surgery.
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