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症状性咽后间隙脂肪瘤。一名患有马德隆病的患者。

Symptomatic retropharyngeal space lipoma. A patient with Madelung disease.

作者信息

Chrysovitsiotis G, Papanikolaou V, Kyrodimos E, Giotakis E

机构信息

1 E.N.T. Department of Faculty of Medicine, National and Kapodistrian University of Athens, Athens, Greece.

出版信息

Hippokratia. 2020 Apr-Jun;24(2):91-93.

Abstract

BACKGROUND

Retropharyngeal space lipomas (RSL) are rare benign tumors of the head and neck region. They can, sporadically, occur as part of syndromic lipomatosis, such as Madelung disease. Symptoms are caused due to increasing pressure on surrounding structures. Description of case: We present a 64-year-old male patient with symptomatic RSL and symmetric lipomatosis, who was treated surgically.

CONCLUSION

RSL can grow to a large size before becoming symptomatic. Their diagnosis and treatment can be challenging due to their anatomical site, diverse symptomatology, and diffuse growth pattern. Imaging is necessary for diagnosis. In the vast majority of cases, RSLs are treated surgically with a favorable outcome. HIPPOKRATIA 2020, 24(2): 91-93.

摘要

背景

咽后间隙脂肪瘤(RSL)是头颈部罕见的良性肿瘤。它们偶尔可作为综合征性脂肪瘤病的一部分出现,如马德隆病。症状是由于对周围结构的压力增加所致。病例描述:我们报告一名64岁有症状的RSL和对称性脂肪瘤病男性患者,接受了手术治疗。

结论

RSL在出现症状之前可长得很大。由于其解剖位置、多样的症状表现和弥漫性生长方式,其诊断和治疗具有挑战性。诊断需要影像学检查。在绝大多数情况下,RSL通过手术治疗可取得良好效果。《希波克拉底》2020年,24(2): 91 - 93。

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本文引用的文献

1
Syndromic lipomatosis of the head and neck: a review of the literature.头颈部综合征性脂肪瘤病:文献综述
Aesthetic Plast Surg. 2015 Jun;39(3):440-8. doi: 10.1007/s00266-015-0478-8. Epub 2015 Apr 10.
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Madelung disease: a not-so-rare disorder.马德隆病:一种并不罕见的疾病。
Ann Plast Surg. 2010 Jan;64(1):122-4. doi: 10.1097/SAP.0b013e31819bd729.
3
Madelung disease: manifestations of CT and MR imaging.马德隆病:CT与MR成像表现
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008 May;105(5):e57-64. doi: 10.1016/j.tripleo.2008.01.004. Epub 2008 Mar 10.
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Multiple symmetric lipomatosis: case report and review of the literature.
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Dysphagia and obstructive sleep apnoea in Madelung's disease.马德隆氏病中的吞咽困难与阻塞性睡眠呼吸暂停
J Laryngol Otol. 2007 Apr;121(4):398-400. doi: 10.1017/S0022215106001629. Epub 2006 Dec 13.

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