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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 79(1)

Cervical chyloma after neck dissection : a case report

https://doi.org/10.18999/nagjms.79.1.91
https://doi.org/10.18999/nagjms.79.1.91
4de8f1c2-a53b-4754-ba04-3923d610569a
名前 / ファイル ライセンス アクション
34_Kimura.pdf 34_Kimura.pdf (2.0 MB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2017-02-23
タイトル
タイトル Cervical chyloma after neck dissection : a case report
著者 Kimura, Masashi

× Kimura, Masashi

WEKO 69525

Kimura, Masashi

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Ohto, Hiroyuki

× Ohto, Hiroyuki

WEKO 69526

Ohto, Hiroyuki

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Shibata, Akio

× Shibata, Akio

WEKO 69527

Shibata, Akio

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Yamada, Hiroki

× Yamada, Hiroki

WEKO 69528

Yamada, Hiroki

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Nishiwaki, Shusuke

× Nishiwaki, Shusuke

WEKO 69529

Nishiwaki, Shusuke

Search repository
Umemura, Masahiro

× Umemura, Masahiro

WEKO 69530

Umemura, Masahiro

Search repository
キーワード
主題Scheme Other
主題 cervical chyloma
キーワード
主題Scheme Other
主題 lymphocele
キーワード
主題Scheme Other
主題 conservative therapy
キーワード
主題Scheme Other
主題 thoracic duct
抄録
内容記述 Cervical chylomas are rare pseudocystic collections that lack an epithelial lining and arise from the thoracic duct or its tributaries; although they typically develop after neck surgery or trauma, they can arise from unknown causes. Treatment options include not only conservative therapy, such as dietary modification, repeated aspirations, and sclerotherapy, but also include surgical excision. We describe a case of a chyloma in a 64-year-old Japanese woman with squamous cell carcinoma of the gingiva. The chyloma developed following left segmental mandibulectomy with radical neck dissection and reconstruction, using a titanium plate and a pectoralis major myocutaneous flap. One month after surgery, a left supraclavicular swelling was noted, so ultrasound-guided fine-needle aspiration and cytology were performed to exclude a recurrence of neck metastasis. The aspiration yielded a milky fluid without atypical or malignant cells on cytology, confirming the diagnosis of chyloma. Although we performed continuous compressive dressing and started the patient on a low-fat diet, the mass persisted. When the patient died of bone, lung, and liver metastases five months after the second surgery, the mass had not changed in size. Awareness of this complication is important to ensure timely diagnosis and appropriate treatment.
内容記述タイプ Abstract
出版者
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.79.1.91
ID登録タイプ JaLC
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
書誌情報 Nagoya Journal of Medical Science

巻 79, 号 1, p. 91-95, 発行日 2017-02
著者版フラグ
値 publisher
URI
識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/791.html
識別子タイプ URI
URI
識別子 http://hdl.handle.net/2237/25626
識別子タイプ HDL
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