Barw Barw Medical Journal 2960-1959 3 3 2025 06 15 Presentation and Management of Cervical Thoracic Duct Cyst: A Systematic Review of the Literature 46 50 10.58742/bmj.v3i3.189 eng Fahmi H. Kakamad College of Medicine, University of Sulaimani, Madam Mitterrand Street, Sulaymaniyah, Iraq. kakamad.fahmi@gmail.com Dilan S. Hiwa Scientific Affairs Department, Smart Health Tower, Madam Mitterrand Street, Sulaymaniyah, Iraq. dilan.sarmad.hiwa@gmail.com Aland S. Abdullah College of Medicine, University of Sulaimani, Madam Mitterrand Street, Sulaymaniyah, Iraq. aland.abdullah@gmail.com Hiwa O. Baba Scientific Affairs Department, Smart Health Tower, Madam Mitterrand Street, Sulaymaniyah, Iraq. hiwa.baba34@gmail.com Aso S. Muhialdeen Kscien Organization for Scientific Research (Middle East Office), Hamdi Street, Azadi Mall, Sulaymaniyah, Iraq. aso.muhialdeen@gmail.com Sarwat T. San Ahmed Sulaymaniyah Teaching Hospital, Sulaymaniyah, Iraq. sarwat.ahmed@gmail.com Mariwan L. Fatah Sulaymaniyah Teaching Hospital, Sulaymaniyah, Iraq. mariwan.fatah@univsul.edu.iq Rezheen J. Rashid Department of Radiology, Hiwa Cancer Hospital, Shorsh Street, Sulaymaniyah, Iraq. rezheen.rashid@gmail.com Aras J. Qaradakhy Department of Radiology, Shorsh Teaching Hospital, Sulaymaniyah, Iraq. aras.qaradakhy@gmail.com Berun A. Abdalla Scientific Affairs Department, Smart Health Tower, Madam Mitterrand Street, Sulaymaniyah, Iraq. berun.anwer95@gmail.com 2025 04 20 Introduction Thoracic duct cysts are an uncommon phenomenon, especially within the cervical region. Due to its limited reported cases, very little is known about its etiology, presentation, and management. This systematic review is conducted to shed light on the ways the cyst presents and the outcomes of different treatment regimens. Methods The EMBASE, CINAHL, PubMed/MEDLINE, Cochrane Library, and Web of Science databases were thoroughly screened to identify any studies published in English up to March 24th, 2024. Results The average age of the patients was 47.8 years, with 9 (56.3%) females in the study population. The mean size of the cysts was 5.99 cm, and the most common symptom was pain, present in 5 (31.3%) patients. The most common management approach chosen for 6 (37.5%) patients was simple follow-up and observation, followed by surgical excision in 5 (31.3%) patients. Conclusion Patients with thoracic duct cervical cysts may be asymptomatic or present with pain. Both surgical excision and conservative management may yield satisfactory outcomes.