vanSonnenberg E, Wittich G R, Casola G, Wing V W, Halasz N A, Lee A S, Withers C
Radiology. 1986 Dec;161(3):593-6. doi: 10.1148/radiology.161.3.3538133.
Twenty-five patients who had lymphoceles underwent sectional imaging and interventional radiologic procedures. Viewed using sonography, lymphoceles were hypoechoic to anechoic, occasionally with internal septa and debris. Low numbers (occasionally negative values) were observed using computed tomography (CT); these numbers strongly suggest the diagnosis of lymphocele. Calcification was observed on CT images of one patient. Diagnostic aspiration revealed tan to yellow fluid containing many lymphocytes; pathognomonic fat globules were observed in four cases. Malignant cells were found in two collections, an unusual occurrence. Therapeutic needle aspiration and short-term catheter drainage were usually unsuccessful (only one of five patients [20%] was cured). Long-term (1-5-week) catheter drainage cured 11 of 14 patients (78.6%). Sclerosing agents may have been beneficial for lymphocele obliteration in three of four patients. For most patients, lymphoceles may be diagnosed and treated successfully using radiologic means.
25例患有淋巴囊肿的患者接受了断层成像和介入放射学检查。超声检查显示，淋巴囊肿呈低回声至无回声，偶尔伴有内部隔膜和碎屑。计算机断层扫描（CT）显示数值较低（偶尔为负值）；这些数值强烈提示淋巴囊肿的诊断。在1例患者的CT图像上观察到钙化。诊断性穿刺抽出棕褐色至黄色液体，其中含有许多淋巴细胞；4例中观察到具有诊断意义的脂肪球。在两份样本中发现了恶性细胞，这一情况并不常见。治疗性针吸和短期导管引流通常不成功（5例患者中仅1例[20%]治愈）。长期（1 - 5周）导管引流使14例患者中的11例（78.6%）治愈。硬化剂可能对4例患者中的3例淋巴囊肿闭塞有益。对于大多数患者，使用放射学方法可成功诊断和治疗淋巴囊肿。
