Chyle fistula after neck dissection for an unusual breast cancer recurrence


Harlak A., Karahatay S., ÖNGÜRÜ Ö., Mentes O., GEREK M., Tufan T.

Breast Care, cilt.3, sa.4, ss.274-276, 2008 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 3 Sayı: 4
  • Basım Tarihi: 2008
  • Doi Numarası: 10.1159/000144491
  • Dergi Adı: Breast Care
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.274-276
  • Anahtar Kelimeler: chyle fistula, breast cancer, thyroid cancer
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Background: Chyle fistula is one of the rare complications of neck dissections. Even though no consented algorithm for the management of this entity has been established yet, conservative treatment options including somatostatin analogues have been suggested as an adequate modality for low output fistulas. Case Report: Here we present a patient with a right-sided neck fistula which was resistant to conventional treatment, and was finally treated by surgery. The neck dissection was performed for a malignant right neck mass that was accepted as the lymph node metastasis of formerly treated papillary thyroid carcinoma. The pathology of the specimen revealed a contralateral neck metastasis of previously treated breast carcinoma. Conclusion: We assume that consecutive surgeries on axillary and neck lymph pathways resulted in such a complicated and exceptional case. Copyright © 2008 S. Karger AG.