Manning L G, Pischinger R J, Bobroff L M
J Urol. 1975 Nov;114(5):788-90. doi: 10.1016/s0022-5347(17)67146-5.
The second known cases of pelvic lipoplastic lymphadenopathy is presented. Roentgenographic studies including lymphangiography were instrumental in the diagnostic evaluation but a histopathologic diagnosis was essential to exclude a neoplastic process. The etiology and natural history of this disease are indeterminant but seemed to pursue a benign 17-year course in our patient. A retroperitoneal lymph node dissection is not indicated unless encroachment on adjacent pelvic viscera causes mechanical obstruction.
本文介绍了第二例已知的盆腔脂肪增多性淋巴结病病例。包括淋巴管造影在内的X线检查对诊断评估有帮助,但组织病理学诊断对于排除肿瘤性病变至关重要。该病的病因和自然史尚不明确,但在我们的患者中似乎呈良性病程长达17年。除非侵犯相邻盆腔脏器导致机械性梗阻,否则不建议进行腹膜后淋巴结清扫术。