Bancel B, Patricot L M, Guerin J C, Vitrey D, Baulieux J
Service d'Anatomie et Cytologie Pathologiques, Faculté de Médecine Lyon Nord.
Ann Pathol. 1991;11(2):107-11.
Two mediastinal lymphangiomas (KLM) are described, in 36 and 41 year-old women. They presented as an incidental finding on chest radiograph. The mediastinal mass was anterior or posterior, compressing the adjacent vital structures, and cystic on computed tomography. The complete surgical removal was possible, but complicated by the size (12 x 7 x 4 cm and 10 x 7 x 5 cm), the hypervascularization and the infiltrative tendency of the lesions. The patients are well 36 and 30 months after removal. We compare these cases with 109 previously reported. They account for 1 p. 100 of the whole lymphangiomas and for 0.5 to 4.5% of all mediastinal tumours. The congenital or infantile cervico-mediastinal lymphangiomas are more frequent (10%). The general signs, symptoms, pathological findings, treatment and pathogenetic theories are discussed.
本文描述了两例纵隔淋巴管瘤（KLM），患者为两名年龄分别为36岁和41岁的女性。它们是在胸部X光检查时偶然发现的。纵隔肿块位于前方或后方，压迫相邻的重要结构，在计算机断层扫描上呈囊性。虽然可以完整切除，但因病变大小（分别为12×7×4厘米和10×7×5厘米）、血管过度增生以及浸润倾向而使手术复杂化。术后36个月和30个月时，两名患者情况良好。我们将这些病例与之前报道的109例进行了比较。它们占所有淋巴管瘤的1/100，占所有纵隔肿瘤的0.5%至4.5%。先天性或婴儿型颈纵隔淋巴管瘤更为常见（10%）。文中还讨论了其一般体征、症状、病理表现、治疗方法及发病机制理论。
