Lüscher N J, Prein J, Spiessl B
Department of Surgery, Kantonsspital Basel, Switzerland.
Ann Plast Surg. 1986 Jun;16(6):502-8. doi: 10.1097/00000637-198606000-00008.
Benign symmetrical lipomatosis of the neck is a rare disease that has to be differentiated from goiter, sialadenitis, obesity or a lymphatic tumor. Most patients are severe alcoholics, but they may have other endocrine disorders, such as diabetes mellitus, hyperuricemia, or hyperlipidemia. Aside from the cosmetic disfigurement and consequent psychological stress, respiratory distress may be the indication for surgical treatment. Excision of the lipomatosis requires technical skill because the extensive and sometimes infiltrative growth makes dissection of muscle and nerves difficult. The computer tomogram provides good information on the extent of the disease. Three of our 5 patients died 2 1/2 to 6 years after the first operation because of their primary disease.
颈部良性对称性脂肪瘤病是一种罕见疾病，必须与甲状腺肿、涎腺炎、肥胖症或淋巴瘤相鉴别。大多数患者是重度酗酒者，但他们可能还患有其他内分泌疾病，如糖尿病、高尿酸血症或高脂血症。除了外形损毁及随之而来的心理压力外，呼吸窘迫可能是手术治疗的指征。脂肪瘤病的切除需要技术技巧，因为广泛且有时呈浸润性生长使得肌肉和神经的解剖很困难。计算机断层扫描能提供有关疾病范围的良好信息。我们的5例患者中有3例在首次手术后2年半至6年因原发性疾病死亡。
