Resection of a thoracic duct lymphangioma using video-assisted thoracoscopic surgery.
Thoracic duct lymphangioma is a rare mediastinal tumor. Most patients are asymptomatic. Symptoms may include dysphagia, dyspnea, cough, or chest pain. Workup may include chest computed tomography or lymphangiography, or both. Surgery should be considered the treatment of choice. We present a 60-year-old man with a 2.4-cm mass in the retro-cardiac space to the right of the esophagus. The patient underwent a thoracoscopic resection of the mass with ligation of the thoracic duct. We conclude that video-assisted thoracoscopic surgery allows for safe evaluation and resection of mediastinal pathology.
Moran
Joseph C
JC
Department of Thoracic Surgery and The Minimally Invasive Learning Center, Saint Peter's University Hospital, New Brunswick, New Jersey 08901, USA. triathlete70@hotmail.com
Bocage
Jean-Philippe
JP
Caccavale
Robert J
RJ
D006801:Humans; D008202:Lymphangioma / Q000601:surgery*; D008297:Male; D008479:Mediastinal Neoplasms / Q000601:surgery*; D008875:Middle Aged; D013897:Thoracic Duct; D020775:Thoracic Surgery, Video-Assisted