Table of Contents
Does lymphoma cause chylothorax?
Malignant lymphoma is the most common cause of nontraumatic chylothorax, with non-Hodgkin lymphoma having a higher prevalence. Other nontraumatic chylothorax etiologies include sarcoidosis, amyloidosis, superior vena cava thrombosis, congenital duct abnormalities and diseases that affect lymph vessels.
Can chylothorax be cured?
Long-term outlook for chylothorax Nearly all patients with thoracic duct trauma can be cured. Experts at CHOP have also seen encouraging results when treating patients with other types of chylothorax. Treatment often provides a long-term cure.
How do you fix chylothorax?
Initial conservative treatment (e.g., parenteral nutrition or a special diet) succeeds in 20% to 80% of cases. When such treatment fails, the standard approach up to the present has been to treat surgically, e.g., with ligation of the thoracic duct, pleurodesis, or a pleuroperitoneal shunt.
Why is chyle leak serious?
Chyle extravasation can result in delayed wound healing, dehydration, malnutrition, electrolyte disturbances, and immunosuppression. Prompt identification and treatment of a chyle leak are essential for optimal surgical outcome.
Can a chyle leak be repaired?
Diagnosis Chyle leaks may be identified intraoperatively or postoperatively. Due to the potential significant morbidity associated with a CL, leaks identified at the time of surgery should be repaired immediately.
What are the signs of end stage lymphoma?
Your symptoms may include:
- fatigue.
- night sweats.
- recurrent fevers.
- weight loss.
- itching.
- bone pain, if your bone marrow is affected.
- loss of appetite.
- abdominal pain.
Can a chyle leak be fixed?
Octreotide therapy has been shown to be successful in high-volume leaks, with reported success in a 2300-mL chyle leak that persisted after 8 days of MCT diet then resolved 6 days after initiation of octreotide therapy with no adverse events.
What is the life expectancy when you have lymphoma?
The overall 5-year relative survival rate for people with NHL is 73%. But it’s important to keep in mind that survival rates can vary widely for different types and stages of lymphoma….Follicular lymphoma.
| SEER Stage | 5-Year Relative Survival Rate |
|---|---|
| Regional | 91% |
| Distant | 86% |
| All SEER stages combined | 90% |
What is the success rate of lymphography in the treatment of chylothorax?
After lymphography, healing of the chylothorax has been observed in about 6% to 50% of cases (35, 36). However, the therapeutic success of lymphography cannot be assessed, so given the existence of other, more effective measures, this procedure has not become an established therapy.
What is the pathophysiology of chylothorax?
Chylothorax arises when lymphatic fluid (chyle) accumulates in the pleural cavity because of leakage from lymphatic vessels. It is most commonly seen after thoracic surgery (in 0.5% to 1% of cases) and in association with tumors. No prospective or randomized trials have yet been performed to evaluate the available treatment options. Methods
How common is chylothorax after esophagectomy?
It is most often observed after esophagectomy (about 3% of cases), or after heart surgery in children (up to about 6% of cases) (1, 2). Treatment options for chylothorax today range from the conservative to surgical and—more recently—interventional radiological procedures.
How is hepatic chylothorax (cirrhosis) treated?
In patients with hepatic chylothorax (cirrhosis, portal hypertension) Lymphography After lymphography, in some cases occlusion of a chyle fistula has been reported Percutaneous closure of the thoracic duct Catheterization of the thoracic duct, usually as a percutaneous transabdominal procedure after lymphography, followed by embolization