PDF(Pubmed)
Abstract：
UNASSIGNED: The transient occlusion of the terminal thoracic duct is a rare disease responsible for renitent supraclavicular cysts. The aim of this study was to describe the clinical characteristics, evolution, and treatment.A retrospective multicenter study and literature review was carried out. The literature search (PubMed) was conducted including data up to 31 December 2020 and PRISMA guidelines were respected.This study identified 6 observational cases between September 2010 and December 2020. The search results indicated a total of 24 articles of which 19 were excluded due to the lack of recurrent swelling or the unavailability of full texts (n = 5). Fourteen patients (8 from literature) mostly reported a noninflammatory, painless renitent mass in the supraclavicular fossa which appeared rapidly over a few hours and disappeared spontaneously over an average of 8 days (range: from about 2 hours to 10 days). Anamnesis indicated a high-fat intake during the preceding days in all cases and 7 from literature found in the Medline databases. Recurrences were noted in 10 patients. Thoracic duct imaging was performed in all cases to detect abnormalities or extrinsic compression as well as to eliminate differential diagnoses.A painless, fluctuating, noninflammatory, and recurrent swelling of the left supraclavicular fossa in patients evoking an intermittent obstruction of the terminal portion of the thoracic duct was identified. A low-fat diet was found as safe and effective treatment.
摘要：
未经证实：胸导管末端短暂性闭塞是一种罕见疾病，可导致肾性锁骨上囊肿。这项研究的目的是描述临床特征，进化,和治疗。进行了回顾性多中心研究和文献综述。进行了文献检索（PubMed），包括截至2020年12月31日的数据，并尊重PRISMA指南。这项研究确定了2010年9月至2020年12月之间的6个观察性病例。搜索结果表明，共有24篇文章，其中19篇由于缺乏复发性肿胀或无法获得全文（n=5）而被排除在外。14例患者（文献中的8例）大多报告非炎性，锁骨上窝的无痛性肾性肿块在几个小时内迅速出现，并在平均8天内自发消失（范围：约2小时至10天）。Anamnesis表明在所有情况下，在前几天都有高脂肪摄入，而Medline数据库中的文献中有7种。10例患者出现复发。在所有情况下都进行了胸导管成像，以检测异常或外部压迫以及消除鉴别诊断。一个无痛的，波动，非炎性,并确定了引起胸导管末端部分间歇性阻塞的患者左锁骨上窝的复发性肿胀。低脂饮食被认为是安全有效的治疗方法。
