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Ann Thorac Surg 1986;41:325-328
© 1986 The Society of Thoracic Surgeons

Articles

Mediastinal Lymphangioma and Chylothorax: The Role of Radiotherapy

Douglas W. Johnson, MAJ, USAF MC*, Philip T. Klazynski, CPT, USAF MC, William H. Gordon, MAJ, USAF MC, David A. Russell, COL, USAF MC

From the Division of Radiation Oncology, Departments of Surgery and Radiology, David Grant USAF Medical Center, Travis Air Force Base, CA

Accepted for publication May 7, 1985.

* Address reprint requests to Dr. Johnson, Division of Radiation Oncology, SGHRT, David Grant USAF Medical Center, Travis AFB, CA 94535

An 11-year-old boy with a capillary/cystic lymphangioma of the posterior mediastinum is described, in whom a symptomatic chylothorax proved to be refractory to surgical management. The addition of low dose mediastinal radiotherapy (2,000 cGy/10 fractions) resulted in prompt and permanent resolution of the chylothorax. Although operation is the primary modality of treatment for these lesions, the addition of radiotherapy in such refractory patients appears to be well tolerated and efficacious and should result in few long-term complications.




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