成人乳腺及腋窝淋巴管瘤并存：1例病例报告及文献复习
Concomitant breast and axillary lymphangioma in an adult: A case report and a review of the literature.
作者信息
Park Taejin, Lee Han Shin, Jung Eun Jung, Kim Ju Yeon, Jeong Chi Young, Ju Young Tae, Lee Young Joon, Hong Soon Chan, Choi Bo Hwa, An Hyo Jung
机构信息
Department of Surgery, Gyeongsang National University School of Medicine and Gyeongsang National University Changwon Hospital, Changwon.
Department of Surgery, Gyeongsang National University School of Medicine and Gyeongsang National University Hospital, Jinju.
出版信息
Medicine (Baltimore). 2018 Nov;97(45):e12946. doi: 10.1097/MD.0000000000012946.
RATIONALE
Lymphangiomas develop in the head, neck, and axilla of patients <2 years old in more than 90% of cases. They are rarely reported in adults.
PATIENT CONCERNS
Here, we report on a 37-year-old woman with a firm, hypoechoic 3.3 cm mass in the right upper, outer quadrant of the breast with discomfort, and swelling of the right axillary region.
DIAGNOSIS AND INTERVENTIONS
She underwent wide excision of the right breast and axillary lesion and the lesion pathologic finding is lymphangioma of the breast.
OUTCOMES
She was in good condition with no signs of postoperative complications and no evidence of recurrence at 6 months postsurgery.
LESSONS
Despite the rarity of breast cystic lymphangioma, its evaluation should be considered for prompt diagnosis and definitive treatment to prevent recurrence and complications. Furthermore, this is the first case of concomitant lymphangioma of the breast parenchyma and axillary region.
理论依据
超过90%的淋巴管瘤病例发生于2岁以下患者的头颈部和腋窝。成人病例鲜有报道。
患者情况
在此，我们报告一名37岁女性，其右乳外上象限有一个3.3厘米的实性低回声肿块，伴有不适，右腋窝区域肿胀。
诊断与干预
她接受了右乳及腋窝病变的广泛切除，病变病理检查结果为乳腺淋巴管瘤。
结果
术后6个月，她状况良好，无术后并发症迹象，也无复发证据。
经验教训
尽管乳腺囊性淋巴管瘤罕见，但仍应考虑对其进行评估，以便及时诊断和明确治疗，防止复发和并发症。此外，这是首例乳腺实质和腋窝区域同时发生淋巴管瘤的病例。
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