Abd Kadir Haji Khairul, Naik Jagjeeth, Chandrasekar Coonoor R
Trauma and Orthopaedics Department, Royal Liverpool and Broadgreen University Hospitals NHS Trust, Liverpool, UK.
Vascular Surgery Department, Royal Liverpool and Broadgreen University Hospitals NHS Trust, Liverpool, UK.
BMJ Case Rep. 2017 Oct 23;2017:bcr-2017-219898. doi: 10.1136/bcr-2017-219898.
A 74-year-old woman presented with an 8-year history of unilateral swelling of her right lower limb, which was thought to be 'idiopathic' lymphoedema until she noticed a painless swelling in her right groin. Physical examination showed a painless, non-pulsatile, deep-seated mass in her right proximal thigh with significant lymphoedema distally. MRI scan showed a large mass at her right inguinal region, involving the common femoral vein. Histological examination on complete excision revealed leiomyosarcoma. It is important to exclude proximal obstructive lesion before making a diagnosis of unilateral idiopathic lower limb lymphoedema.
一名74岁女性，右下肢单侧肿胀已有8年病史，在出现右腹股沟无痛性肿块之前，一直被认为是“特发性”淋巴水肿。体格检查发现右大腿近端有一个无痛、无搏动的深部肿块，远端有明显的淋巴水肿。MRI扫描显示右腹股沟区有一个大肿块，累及股总静脉。完整切除后的组织学检查显示为平滑肌肉瘤。在诊断单侧特发性下肢淋巴水肿之前，排除近端阻塞性病变很重要。
