Okubo T, Okayasu T, Osaka Y, Kajitani M, Hasegawa N, Tanabe T
Second Department of Surgery, Hokkaido University School of Medicine, Sapporo, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1992 Apr;40(4):583-6.
Mediastinal lymphangioma is a very rare disease. In this study, we evaluated 7 surgically treated cases of mediastinal lymphangioma. Four males and 3 females with ages ranging from 5 months to 74 years (average 31.4 years) were examined. Four patients were asymptomatic but had abnormal shadows on their chest X-ray. Of the remaining patients, one had hoarseness and another had superior vena cava syndrome and both had dyspnea. The other patient was discovered because of cervical tumor. Multiple lymphangiomas were found in only 2 patients. One patient had 4 tumors and the other had 2 tumors in the mediastinum. Of all lymphangiomas, 2 were found in the superior mediastinum, 2 in the anterior mediastinum, 3 in the median mediastinum and 3 in the posterior mediastinum. All patients had cystic lymphangioma including 1 with capillary lymphangioma and 1 with cavernous lymphangioma. Median sternotomy was performed in 3 of the patients and posterolateral thoracotomy was performed in the remainder. The cervical tumor was removed by local incision. Complete resection of the lymphangiomas was performed and no recurrence was observed after surgery.
纵隔淋巴管瘤是一种非常罕见的疾病。在本研究中，我们评估了7例接受手术治疗的纵隔淋巴管瘤病例。研究对象包括4名男性和3名女性，年龄范围为5个月至74岁（平均31.4岁）。4例患者无症状，但胸部X线检查显示有异常阴影。其余患者中，1例声音嘶哑，1例患有上腔静脉综合征且均有呼吸困难。另1例患者是因颈部肿瘤而被发现。仅2例患者发现有多个淋巴管瘤。1例患者纵隔内有4个肿瘤，另1例有2个肿瘤。在所有淋巴管瘤中，2个位于上纵隔，2个位于前纵隔，3个位于中纵隔，3个位于后纵隔。所有患者均为囊性淋巴管瘤，其中1例合并毛细淋巴管瘤，1例合并海绵状淋巴管瘤。3例患者行正中胸骨切开术，其余患者行后外侧开胸术。颈部肿瘤通过局部切口切除。淋巴管瘤均被完整切除，术后未观察到复发。
