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广泛型舌淋巴管瘤随访8年:病例报告

Extensive tongue lymphangioma followed for eight years: Case report.

作者信息

Júnior Francisco Nunes, da Silva Everton J, Paz Ana L L M, Volpato Luiz E R

机构信息

Department of Dentistry, Mato Grosso Cancer Hospital, Cuiabá, MT, Brazil.

Cuiabá School of Dentistry, University of Cuiabá, Cuiabá, MT, Brazil.

出版信息

J Oral Maxillofac Pathol. 2023 Feb;27(Suppl 1):S6-S9. doi: 10.4103/jomfp.jomfp_511_20. Epub 2023 Feb 4.

DOI:10.4103/jomfp.jomfp_511_20
PMID:37082292
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10112709/
Abstract

Lymphangiomas are benign hamartomatous tumours similar to lymphatic vessel neoplasms, originating from lymphatic tissue sequestration and may or may not communicate with the rest of the system. There are several treatment options for lymphangioma, such as surgery, sclerotherapy, cryotherapy, lasers, steroids and bleomycin. Although surgery is the most indicated treatment, it can result in severe sequelae and loss of function in patients. The present case shows a 5-year-old patient diagnosed with extensive tongue lymphangioma and, due to the mutilation that would be caused by its complete excision, the option was for more conservative treatments such as laser therapy and cryotherapy. After follow-up for 8 years, the patient presents with preserved functions and controlled lesion.

摘要

淋巴管瘤是一种良性错构瘤性肿瘤,类似于淋巴管肿瘤,起源于淋巴组织隔离,可能与系统的其他部分相通,也可能不相通。淋巴管瘤有多种治疗选择,如手术、硬化治疗、冷冻治疗、激光治疗、类固醇和博来霉素。虽然手术是最推荐的治疗方法,但它可能导致患者出现严重后遗症和功能丧失。本病例显示一名5岁患者被诊断为广泛性舌淋巴管瘤,由于完全切除会导致毁容,因此选择了更保守的治疗方法,如激光治疗和冷冻治疗。经过8年的随访,患者功能保留,病变得到控制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20e7/10112709/c9118e965646/JOMFP-27-6-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20e7/10112709/708cbef5b3c9/JOMFP-27-6-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20e7/10112709/07110505c9d7/JOMFP-27-6-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20e7/10112709/c9118e965646/JOMFP-27-6-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20e7/10112709/708cbef5b3c9/JOMFP-27-6-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20e7/10112709/07110505c9d7/JOMFP-27-6-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20e7/10112709/c9118e965646/JOMFP-27-6-g003.jpg

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本文引用的文献

1
Treatment of Tongue Lymphangioma with Intralesional Combination Injection of Steroid, Bleomycin and Bevacizumab.病灶内联合注射类固醇、博来霉素和贝伐单抗治疗舌淋巴管瘤
Arch Craniofac Surg. 2017 Mar;18(1):54-58. doi: 10.7181/acfs.2017.18.1.54. Epub 2017 Mar 25.
2
Classical Cases of Lymphangioma - As Multiple Vesicular Eruptions.淋巴管瘤的典型病例——表现为多发性水疱样皮疹
J Clin Diagn Res. 2016 Jun;10(6):ZD22-3. doi: 10.7860/JCDR/2016/18043.8046. Epub 2016 Jun 1.
3
Oral lymphangioma: A rare case report.口腔淋巴管瘤:一例罕见病例报告。
Contemp Clin Dent. 2015 Oct-Dec;6(4):584-7. doi: 10.4103/0976-237X.169851.
4
Lymphangioma Circumscriptum: Clinicopathological Spectrum of 29 Cases.局限性淋巴管瘤:29例临床病理分析
J Coll Physicians Surg Pak. 2015 Sep;25(9):658-61.
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Treatment of cystic lymphangioma by transcatheter lymphatic sclerotherapy and embolization.经导管淋巴硬化治疗及栓塞术治疗囊性淋巴管瘤
J Vasc Interv Radiol. 2015 Mar;26(3):455-7. doi: 10.1016/j.jvir.2014.11.027.
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Lymphangioma of the tongue - a case report and review of literature.舌淋巴管瘤——病例报告及文献综述
J Clin Diagn Res. 2014 Sep;8(9):ZD12-4. doi: 10.7860/JCDR/2014/9890.4792. Epub 2014 Sep 20.
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Cryotherapy for massive vulvar lymphatic leakage complicated with lymphangiomas following gynecological cancer treatment.
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Lymphangioma circumscriptum, angiokeratoma, or superficial vascular ectasia with epithelial hyperplasia?局限性淋巴管瘤、血管角化瘤还是伴有上皮增生的浅表性血管扩张?
Oral Surg Oral Med Oral Pathol Oral Radiol. 2014 Aug;118(2):e53-7. doi: 10.1016/j.oooo.2013.12.003. Epub 2013 Dec 6.
9
Lymphangioma circumscriptum of the tongue in children: successful treatment using intralesional bleomycin.儿童舌部局限性淋巴管瘤:采用瘤内注射博来霉素成功治疗
Int J Pediatr Otorhinolaryngol. 2013 Aug;77(8):1367-9. doi: 10.1016/j.ijporl.2013.05.009. Epub 2013 May 31.
10
Lymphangioma of the tongue.舌淋巴管瘤
Natl J Maxillofac Surg. 2011 Jan;2(1):86-8. doi: 10.4103/0975-5950.85862.