Postoperative chylothorax: two case reports from paraaortic lymphadenectomy of ovarian cancer
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- Fujii Erisa
- Department of Gynecology, National Cancer Center Hospital
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- Uno Masaya
- Department of Gynecology, National Cancer Center Hospital
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- Kato Mayumi
- Department of Gynecology, National Cancer Center Hospital
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- Tanase Yasuhito
- Department of Gynecology, National Cancer Center Hospital
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- Ishikawa Mitsuya
- Department of Gynecology, National Cancer Center Hospital
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- Kato Tomoyasu
- Department of Gynecology, National Cancer Center Hospital
Bibliographic Information
- Other Title
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- 卵巣・卵管癌における傍大動脈リンパ節郭清術後に乳糜胸水を生じた2例
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Abstract
<p>There are several reports of postoperative chylothorax from thoracic surgery field, but none from gynecologists. We report two cases of chylothorax after paraaortic lymphadenectomy of ovarian cancer.</p><p>Case 1: A 45-year-old woman underwent primary debulking surgery, including paraaortic lymphadenectomy for ovarian cancer. In the subsequent 6 days, she developed right pleural effusion and was diagnosed as chylothorax. The pleural effusion resolved with drainage and a low-fat diet within a month.</p><p>Case 2: A 44-year-old woman underwent primary debulking surgery, same as case 1. After 6 days of surgery, she developed right pleural effusion and was diagnosed chylothorax. There was no evidence of ascites. The patient was treated conservatively; drainage and fat-free intravenous nutrition. A month passed then, but the effusion did not decrease. In this case, lymphangiography was not effective to detect the leakage. With the chest tube inserted, she received adjuvant chemotherapy. Overall, it took half a year for the effusion to resolve. Postoperative chylothorax may take months to settle with conservative treatment alone.</p>
Journal
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- Japanese Journal of Gynecological Oncology
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Japanese Journal of Gynecological Oncology 41 (3), 258-263, 2023-07-25
Japan Society of Gynecologic Oncology
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Details 詳細情報について
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- CRID
- 1390578757937326464
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- ISSN
- 24368156
- 13478559
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- Text Lang
- ja
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- Data Source
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- JaLC
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- Abstract License Flag
- Allowed