Thoracic duct cyst of posterior mediastinum: a "challenging" differential diagnosis.

Ann Transl Med

1 "Microdiagnostics" Ltd., Thessaloniki, Greece ; 2 Pulmonary Department-Oncology Unit, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece ; 3 Surgery Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 4 Obstetric - Gynecology Department, "Thriassio" General Hospital of Athens, George Genimata, Athens, Greece ; 5 Department of Anatomy, Democritus University of Thrace, Alexandroupolis, Greece ; 6 Department of Angiology, "St. Loukas" Private Hospital, Thessaloniki, Greece ; 7 Thoracic Surgery Department, "Theageneio" Anticancer Hospital, Thessaloniki, Greece ; 8 Forensic Medicine Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 9 Thoracic Surgical Department "St. Loukas", Thessaloniki, Greece.

Published: May 2016

Thoracic duct cysts of the mediastinum are extremely rare entities and their pathogenesis still remains unknown. Imaging methods are not specific and show a cystic mass, however the real nature of the lesion is confirmed only with the help of histopathological examination after surgical excision. Here, we present a case of thoracic cyst in a 28-year-old female, lining in posterior lower mediastinum. The cyst was removed by video-assisted thoracic surgery (VATS) and the histopathological findings were that of thoracic duct cyst. Through this case, we propose an ideal surgical approach and diagnostic procedure.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4876270PMC
http://dx.doi.org/10.21037/atm.2016.04.12DOI Listing

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