Whimster I W
Br J Dermatol. 1976 May;94(5):473-86. doi: 10.1111/j.1365-2133.1976.tb05134.x.
A study of lymphangioma circumscriptum has been carried out over a number of years in an attempt to understand its nature and pathogenesis, with a view to improving treatment. It is postulated that the lesion consists essentially of a collection of large muscular-coated lymphatic cisterns, lying deep in the subcutaneous plane and communicating via dilated dermal lymphatics with the superficial vesicles. It seems that these cisterns do not communicate directly, if at all, with the general lymphatic system but represent a sequestrated part of it. They have been shown by cannulation to pulsate at a slow steady rate producing a rise and fall of pressure within them. It is believed that the vesicles are saccular dilatations of superficial lymphatics, secondary to raised pressure transmitted from the pulsating cisterns beneath. It is suggested that may be possible to treat these lesions more successfully and with better cosmetic results by excising the subcutaneous cisterns and leaving the overlying skin intact.
多年来一直在进行一项关于局限性淋巴管瘤的研究，旨在了解其性质和发病机制，以期改进治疗方法。据推测，该病变本质上是由一群大的有肌层的淋巴池组成，位于皮下平面深部，并通过扩张的真皮淋巴管与浅表水疱相通。这些淋巴池似乎与一般淋巴系统即使有联系也不直接相通，而是代表其一个隔离部分。通过插管已证明它们以缓慢而稳定的速率搏动，导致其内部压力有升有降。据信，水疱是浅表淋巴管的囊状扩张，继发于下方搏动性淋巴池传递来的压力升高。有人提出，通过切除皮下淋巴池并保留其上的皮肤完整，可能更成功地治疗这些病变并获得更好的美容效果。
