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J Thorac Cardiovasc Surg 2007;134:1082-1083
© 2007 The American Association for Thoracic Surgery
Brief Communication |
Ataturk University, Medical Faculty, Department of Thoracic Surgery, Erzurum, Turkey.
Received for publication April 26, 2007; accepted for publication May 31, 2007. * Address for reprints: Atila Turkyilmaz, Department of Thoracic Surgery, Faculty of Medicine, Ataturk University, 25240 Erzurum, Turkey. (Email: atilat@atauni.edu.tr; atilaeroglu@hotmail.com).
| The first 20% of the full text of this article appears below. |
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Thoracic duct cysts of the mediastinum, which may be of congenital or degenerative origin, are rare lesions.1-4
Although these cysts may occur anywhere along the course of the duct within the mediastinum, they are located in either the costovertebral sulcus or the visceral compartment of the mediastinum. We report a case of surgery on a giant thoracic duct cyst in an 82-year-old female patient. This rare cause of dysphagia is discussed alongside data from the literature.
Clinical Summary
The patient, an 82-year-old woman, was admitted with the chief symptom of dysphagia. A chest radiogram revealed an ovoid mass at the posterior mediastinum (Figure 1, a). An esophagogram showed deviation of the esophagus to the left and anterior. An esophagoscopic scan showed the middle esophagus to be narrowed by a compressing extrinsic lesion, but the esophageal mucosa appeared to be normal. A computed tomographic scan revealed a 9 x 10-cm, well-defined, homogeneous
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