Mediastinal cystic lymphangioma: is resection always necessary?

Thorac Cardiovasc Surg. 2005 Aug;53(4):243-4. doi: 10.1055/s-2005-837648.

Abstract

Mediastinal cystic lymphangiomas are rare tumours. Usually asymptomatic, they can be complicated by a chylopericardium or/and chylothorax. We report a case of a left lesion infiltrating through the supra-aortic vessels complicated with a iatrogenic left chylothorax managed by bilateral video-assisted thoracoscopy at the same time. First, on the right, the chylous inflow was stopped by suturing the thoracic duct; then, on the left, a fenestration was done to confirm the diagnosis and treat the lesion while preserving the adjacent structures.

Publication types

  • Case Reports

MeSH terms

  • Biopsy, Needle
  • DNA-Directed DNA Polymerase
  • Follow-Up Studies
  • Health Services Needs and Demand
  • Humans
  • Immunohistochemistry
  • Lymphangioma, Cystic / diagnosis
  • Lymphangioma, Cystic / surgery*
  • Male
  • Mediastinal Neoplasms / diagnosis
  • Mediastinal Neoplasms / surgery*
  • Middle Aged
  • Pleural Effusion, Malignant / diagnosis
  • Pleural Effusion, Malignant / surgery*
  • Radiography, Thoracic
  • Rare Diseases
  • Risk Assessment
  • Sensitivity and Specificity
  • Tomography, X-Ray Computed
  • Treatment Outcome

Substances

  • Tli polymerase
  • DNA-Directed DNA Polymerase