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Cervical thoracic duct cyst: a conservative resolution
  1. Aimee Amirtharaja1,
  2. Janine Zixuan Quek2,
  3. Sobana Battison3 and
  4. Badrinarayanan Srinivasan4
  1. 1Oral and Maxillofacial Surgery, Portsmouth Hospitals University NHS Trust, Portsmouth, UK
  2. 2University of Bristol Dental Hospital, Bristol, UK
  3. 3Department of Radiology, University Hospital Southampton NHS Foundation Trust, Southampton, UK
  4. 4OMFS, University Hospital Southampton NHS Foundation Trust, Southampton Hampshire, UK
  1. Correspondence to Dr Janine Zixuan Quek; janinequek{at}


A woman in her 70s presented with an enlarging, asymptomatic palpable mass in the left supraclavicular fossa. The clinical impression was of a lipoma. Imaging showed a cystic lesion with continuity of a tubular structure leading to the carotid sheath. Cytology was consistent with thoracic duct sampling. A diagnosis of the rare entity of a thoracic duct cyst with supraclavicular extension was made. This was managed conservatively via repeated aspirations which reduced the size of the mass.

  • Oral and maxillofacial surgery

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  • Contributors AA contributed to the acquisition of data. AA and JZQ were responsible for drafting of the manuscript and literature review. Critical revision of the manuscript and final approval of the version to be published were completed by BS, AA and JZQ. BS provided care for the patient. SB made substantial contributions in reporting of and interpretation of special investigations.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.