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一名儿童出现吞咽困难和构音障碍,其腭扁桃体淋巴管瘤性息肉。

Lymphangiomatous Polyp of Palatine Tonsil in A Child Presenting with Dysphagia and Dysarthria.

作者信息

Khatib Yasmeen, Gite Vinod, Patel Richa, Shoeb Mohammed, Oraon Asha

机构信息

Assistant Professor and Head, Department of Pathology, R. N. Cooper Hospital , Mumbai, India .

Assistant Professor, Department of Ear, Nose and Throat, R. N. Cooper Hospital , Mumbai, India .

出版信息

J Clin Diagn Res. 2015 May;9(5):ED01-2. doi: 10.7860/JCDR/2015/11296.5877. Epub 2015 May 1.

DOI:10.7860/JCDR/2015/11296.5877
PMID:26155482
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4484074/
Abstract

Pedunculated lymphangiomatous polyps of the tonsil are rare benign lesions that have been described in literature using varied nomenclature. Majority of the cases have been reported in adults with varying clinical symptoms. We report a case of lymphangiomatous polyp of left palatine tonsil in a 14-year-old male child who presented with dysphagia and dysarthria. Clinical examination revealed a large pedunculated polyp arising from upper pole of left tonsil. Patient underwent left tonsillectomy with excision of the polyp. Based on histopathological features a diagnosis of pedunculated lymphangiomatous polyp was made. We discuss the clinical and histopathological features of this lesion with differential diagnosis and short review of literature.

摘要

扁桃体带蒂淋巴管瘤性息肉是罕见的良性病变,文献中对其描述使用了不同的命名法。大多数病例报道见于成年人,临床症状各异。我们报告一例14岁男性儿童左腭扁桃体淋巴管瘤性息肉,该患儿表现为吞咽困难和构音障碍。临床检查发现一个从左扁桃体上极长出的带蒂大息肉。患者接受了左扁桃体切除术及息肉切除术。根据组织病理学特征诊断为带蒂淋巴管瘤性息肉。我们讨论了该病变的临床和组织病理学特征、鉴别诊断并对文献进行了简要回顾。

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引用本文的文献

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2
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Head Neck Pathol. 2023 Jun;17(2):502-508. doi: 10.1007/s12105-023-01529-x. Epub 2023 Feb 1.
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Case Rep Otolaryngol. 2016;2016:1505202. doi: 10.1155/2016/1505202. Epub 2016 Oct 30.

本文引用的文献

1
A rare cause of dysphagia in children: lymphangiomatous polyp of the palatine tonsil.儿童吞咽困难的罕见病因:腭扁桃体淋巴管瘤性息肉。
J Craniofac Surg. 2014 Jul;25(4):e346-8. doi: 10.1097/SCS.0000000000000773.
2
Lymphangioma of the palatine tonsil.腭扁桃体淋巴管瘤。
Arch Pathol Lab Med. 2013 Dec;137(12):1837-42. doi: 10.5858/arpa.2012-0678-RS.
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Unilateral lymphangiomatous polyp of the palatine tonsil in a very young child: a clinicopathologic case report.一名幼儿腭扁桃体的单侧淋巴管瘤性息肉:一例临床病理病例报告
Case Rep Pediatr. 2011;2011:451542. doi: 10.1155/2011/451542. Epub 2012 Jan 4.
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Immunohistochemical study of stromal and vascular components of tonsillar polyps: high endothelial venules as participants of the polyp's lymphoid tissue.扁桃体息肉的基质和血管成分的免疫组织化学研究:高内皮静脉作为息肉淋巴组织的参与者。
Virchows Arch. 2011 Jul;459(1):65-71. doi: 10.1007/s00428-011-1088-8. Epub 2011 May 12.
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Fibrolipoma of the tonsil.扁桃体纤维脂肪瘤
Indian J Pathol Microbiol. 2010 Jul-Sep;53(3):562-3. doi: 10.4103/0377-4929.68275.
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Lymphangiectatic fibrolipomatous polyp of the palatine tonsil.腭扁桃体淋巴管扩张性纤维脂肪瘤性息肉
Indian J Pathol Microbiol. 2000 Oct;43(4):449-51.
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Tonsillar lymphangiomatous polyps: a clinicopathologic series of 26 cases.扁桃体淋巴管瘤性息肉:26例临床病理系列研究
Mod Pathol. 2000 Oct;13(10):1128-33. doi: 10.1038/modpathol.3880208.
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Benign hamartomatous polyp of the palatine tonsil.腭扁桃体良性错构瘤性息肉。
J Laryngol Otol. 1993 Nov;107(11):1073-5. doi: 10.1017/s0022215100125332.
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Lipoma of the left tonsillar fossa.左侧扁桃体窝脂肪瘤
J Laryngol Otol. 1994 Jun;108(6):507-8. doi: 10.1017/s0022215100127252.
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[Angiofibrolipoma of the tonsil].[扁桃体血管纤维脂肪瘤]
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