title: Mediastinal cystic lymphangioma: is resection always necessary?
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.
authors.affiliation: Thoracic Surgery Department, Pasteur Hospital, Nice, France. danielpopch@yahoo.com
authors.forename: D
authors.initials: D
authors.lastname: Pop
authors.forename: E I
authors.initials: EI
authors.lastname: Benizri
authors.forename: N
authors.initials: N
authors.lastname: Venissac
authors.forename: F
authors.initials: F
authors.lastname: Leo
authors.forename: B
authors.initials: B
authors.lastname: Padovani
authors.forename: J
authors.initials: J
authors.lastname: Mouroux
mesh_terms: D001707:Biopsy, Needle; D004259:DNA-Directed DNA Polymerase; D005500:Follow-Up Studies; D006301:Health Services Needs and Demand; D006801:Humans; D007150:Immunohistochemistry; D018191:Lymphangioma, Cystic / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D008479:Mediastinal Neoplasms / Q000175:diagnosis / Q000601:surgery*; D008875:Middle Aged; D016066:Pleural Effusion, Malignant / Q000175:diagnosis / Q000601:surgery*; D013902:Radiography, Thoracic; D035583:Rare Diseases; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: C070331:Tli polymerase; D004259:DNA-Directed DNA Polymerase