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Variations in the Management of Cervical Thoracic Duct Cyst
Edgardo Abelardo1, Priyanka Shastri1, Vinod Prabhu1
1ENT Department, Hywel Dda University Health Board, Carmarthen, United Kingdom.
Abstract:
We present an uncomplicated case report of a cervical thoracic duct cyst (CTDC) in a 61-year-old woman treated with surgical excision. We reviewed 47 similar cases since it was first described in 1964 and evaluated the different diagnostic and management approaches. Previously believed to be the gold standard tool for evaluation, lymphangiography is now less popular due to advent of high-resolution imaging combined with aspiration techniques. CTDC treatment includes observation, low-fat diet, repeated aspirations, external pressure, sclerotherapy, embolisation, and surgical intervention. The preferred management of choice to date is surgical excision.
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