Department of Pulmonology, Children's Hospital, Zhejiang University School of Medicine, Hangzhou 310003, Zhejiang Province, China.
Clin Imaging. 2012 Sep-Oct;36(5):606-8. doi: 10.1016/j.clinimag.2011.11.010. Epub 2012 Jun 8.
Lymphatic malformations are vascular malformations and consist of masses of abnormal lymphatic channels. They are uncommon in the mediastinum. We report three cases of giant mediastinum lymphatic malformations in children. One case developed two episodes of cardiopulmonary arrests, and the other two were first diagnosed and treated as pneumonia. They all recovered well after surgery. The diagnosis is rather important in lymphatic malformations. A delay in diagnosis of mediastinum lymphatic malformation increases the risk of death and prolonged clinical course. Thus, mediastinum lymphatic malformations should be kept in mind as a differential diagnosis of pneumonia and mass in the neck.
淋巴管畸形是血管畸形的一种，由大量异常淋巴管组成。它们在纵隔中并不常见。我们报告了三例儿童巨大纵隔淋巴管畸形。一例发生了两次心肺骤停，另外两例最初被诊断为肺炎并进行了治疗。手术后他们都恢复良好。淋巴管畸形的诊断非常重要。纵隔淋巴管畸形的诊断延迟会增加死亡风险和延长临床病程。因此，纵隔淋巴管畸形应作为肺炎和颈部肿块的鉴别诊断之一。
