Jiang Yu-Gang, Xiang Jun, Zhang Linyun
Medical Association of China.
Surg Neurol. 2006 Oct;66(4):430-6; discussion 436. doi: 10.1016/j.surneu.2005.12.038. Epub 2006 Jul 21.
Lymphangioma of the soft tissue is not uncommon. However, as far as the authors know, intraspinal lymphangioma is clinically rare and very few cases have been reported previously.
Two patients who had backache and acratia of the lower limbs and difficulty in relieving themselves were examined by plain radiography and magnetic resonance imaging before surgery. Treatment consisted of the usual technique of surgical resection of the tumor microscopically. Histological examination of the resected material confirmed the diagnosis. Postoperative follow-up assessment was performed by magnetic resonance imaging.
Intraspinal lymphangioma is very rare clinically and its cause remains controversial. Magnetic resonance imaging can obtain precise position fixing, but it is hard to make preoperative qualitative determination. The most effective treatment of intraspinal lymphangioma is to excise it totally.
The clinical appearance of intraspinal lymphangioma has no character. Magnetic resonance imaging is important in diagnosing it. The most effective treatment of intraspinal lymphangioma is to excise it totally. Further observation is recommended because of the possibility of local recurrence.
软组织淋巴管瘤并不罕见。然而，据作者所知，脊髓内淋巴管瘤临床罕见，此前报道的病例很少。
两名出现背痛、下肢乏力及排尿困难的患者在手术前接受了X线平片和磁共振成像检查。治疗采用常规的显微镜下手术切除肿瘤技术。对切除组织进行组织学检查以确诊。术后通过磁共振成像进行随访评估。
脊髓内淋巴管瘤临床极为罕见，其病因仍存在争议。磁共振成像可实现精确定位，但术前难以进行定性诊断。脊髓内淋巴管瘤最有效的治疗方法是完全切除。
脊髓内淋巴管瘤临床表现无特征性。磁共振成像对其诊断很重要。脊髓内淋巴管瘤最有效的治疗方法是完全切除。鉴于有局部复发的可能，建议进一步观察。
