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成人囊性淋巴管瘤——罕见病例还是误诊?

Cystic lymphangioma in adult-a rare case scenario or a misdiagnosis?

作者信息

Sharma J V Pranav, Kazi Farah Naaz

机构信息

Surgery, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, India.

出版信息

J Surg Case Rep. 2021 Mar 13;2021(3):rjab062. doi: 10.1093/jscr/rjab062. eCollection 2021 Mar.

DOI:10.1093/jscr/rjab062
PMID:33747431
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7958348/
Abstract

Cystic lymphangiomas are a rare entity in adults. It is commonly congenital due to obstruction in the lymphatic drainage. We report the case of a 45-year-old female who was admitted with complaints of a lateral neck swelling associated with multiple palpable cervical lymph nodes. Patient was evaluated and relevant investigations were carried out. Her radiological investigations reported conflicting results of lymphatic cyst, branchial cyst and infected cyst or abscess. However, after an excisional biopsy when the sample tissue was sent for histopathology, the results featured a lymphangioma, which is a rare finding in adults of this age.

摘要

囊性淋巴管瘤在成人中较为罕见。它通常是先天性的,由于淋巴管引流受阻所致。我们报告一例45岁女性病例,该患者因右侧颈部肿胀并伴有多个可触及的颈部淋巴结而入院。对患者进行了评估并开展了相关检查。她的影像学检查报告显示淋巴管囊肿、鳃裂囊肿以及感染性囊肿或脓肿的结果相互矛盾。然而,在进行切除活检并将样本组织送去做组织病理学检查后,结果显示为淋巴管瘤,这在这个年龄段的成年人中是罕见的发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97af/7958348/3943e245b63c/rjab062f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97af/7958348/2487029f65e3/rjab062f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97af/7958348/7825370552d8/rjab062f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97af/7958348/1cb93240c57b/rjab062f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97af/7958348/3943e245b63c/rjab062f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97af/7958348/2487029f65e3/rjab062f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97af/7958348/7825370552d8/rjab062f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97af/7958348/1cb93240c57b/rjab062f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97af/7958348/3943e245b63c/rjab062f4.jpg

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引用本文的文献

1
Axillary Cystic Lymphangioma in an Adult: A Case Report.成人腋窝囊性淋巴管瘤:一例报告
Cureus. 2024 Mar 2;16(3):e55390. doi: 10.7759/cureus.55390. eCollection 2024 Mar.

本文引用的文献

1
Oral lymphangiomas - clinical and histopathological relations: An immunohistochemically analyzed case series of varied clinical presentations.口腔淋巴管瘤——临床与组织病理学关系:一个经免疫组织化学分析的不同临床表现病例系列
J Oral Maxillofac Pathol. 2018 Jan;22(Suppl 1):S108-S111. doi: 10.4103/jomfp.JOMFP_157_17.
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Cystic hygroma of the neck: single center experience and literature review.颈部囊状水瘤:单中心经验及文献复习。
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Lymphangioma of cheek region-an unusual presentation.颊部淋巴管瘤——一种不寻常的表现。
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A review of the management of lymphangiomas.淋巴管瘤的治疗综述。
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Lymphatic malformation: predictive factors for recurrence.淋巴管畸形:复发的预测因素
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25 years' experience with lymphangiomas in children.25年儿童淋巴管瘤治疗经验。
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Primary disorders of the lymphatic vessels--a unified concept.淋巴管原发性疾病——一个统一的概念
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