Efficacy of octreotide against chylothorax following lateral neck dissection for thyroid cancer: A case report

  • N. H
  • T. O
  • E. T
  • et al.
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Abstract

Introduction Postsurgical chylothorax is a rare complication of cervical dissection for thyroid cancer. We report that octreotide, a synthetic analog of somatostatin, is effective in treating chylothorax after thyroid carcinoma surgery. Presentation of case The patient was a 48-year-old woman who presented to our institution complaining of a left anterior cervical mass. We diagnosed this as thyroid papillary carcinoma and performed a subtotal excision of the thyroid gland with left cervical lymph node dissection. The patient developed dyspnea, and a chest X-ray revealed bilateral chylothorax on Day 4 post-surgery. Octreotide was administered since bilateral chylothorax was noted. A marked decrease in chyle effusion was noted just 3 days after starting octreotide, and after a total of 9 days of treatment, there were no further signs of chylous effusion. Discussion Octreotide is effective against postsurgical chylothorax; however, if there are no signs of improvement, we believe surgical treatment should be considered. Conclusion Octreotide should be administered first to treat postsurgical chylothorax before surgical treatment is considered.

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N., H., T., O., E., T., & K., I. (2016). Efficacy of octreotide against chylothorax following lateral neck dissection for thyroid cancer: A case report. International Journal of Surgery Case Reports, 21, 107–110. https://doi.org/10.1016/j.ijscr.2016.02.025

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