Fairey R, Worth A, Gustafson R C
Division of Radiation Oncology, A. Maxwell Evans Clinic, Vancouver, British Columbia, Canada.
Gynecol Oncol. 1987 Nov;28(3):345-51. doi: 10.1016/0090-8258(87)90183-1.
Lipoplastic lymphadenopathy is a pathological condition wherein accumulations of intranodal fat result in lymph node enlargement and may mimic abdominal, pelvic, and retroperitoneal neoplasms, particularly lymphomas. The pathology appears to be different from lipomatosis in that benign, mature adipocytes and lipids are located within lymph nodes, rather than deposited in body cavities. The case of a 49-year-old woman presenting as an ovarian neoplasm is presented as an example of the pathology and its ability to masquerade as other neoplasms. The etiology of lipoplastic lymphadenopathy is unclear although associated causes are suggested. The difficulties of radiological examination of this case and others makes open lymph node biopsy important for the final diagnosis.
脂肪化淋巴结病是一种病理状态，其中淋巴结内脂肪堆积导致淋巴结肿大，并可能酷似腹部、盆腔和腹膜后肿瘤，尤其是淋巴瘤。其病理表现似乎与脂肪瘤病不同，在于良性、成熟的脂肪细胞和脂质位于淋巴结内，而非沉积于体腔。本文以一名表现为卵巢肿瘤的49岁女性病例为例，介绍这种病理情况及其伪装成其他肿瘤的能力。尽管有人提出了相关病因，但脂肪化淋巴结病的病因尚不清楚。该病例及其他病例的放射学检查存在困难，这使得开放性淋巴结活检对于最终诊断很重要。
