Bloch P, Meshaka G, Takeara E, Hamdan M
Département de Chirurgie, Hôpital Américain de Paris, Neuilly.
Presse Med. 1989 Dec 9;18(41):2011-3.
A case of diffuse retroperitoneal lymphangiomatosis manifested by oedema of the left lower limb is reported. Non-invasive exploratory methods revealed a retroperitoneal pseudo-tumoral image. At laparotomy, a retro- and subperitoneal infiltration was discovered, and histology showed benign smooth muscle proliferation developed from the muscular layer of lymph vessels. There is no known successful surgical procedure for this type of lesion, and none of the treatments tested (oophorectomy or hormonal therapy) has proved to be effective.
报告了一例以左下肢水肿为表现的弥漫性腹膜后淋巴管瘤病。非侵入性探查方法显示腹膜后有假性肿瘤影像。剖腹手术时,发现腹膜后和腹膜下有浸润,组织学检查显示为淋巴管肌层发生的良性平滑肌增生。对于这类病变,尚无已知成功的手术方法,所试验的治疗方法(卵巢切除术或激素治疗)均未证明有效。