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Madelung 病病例报告及文献综述

A case report on Madelung's disease and comprehensive review of the literature.

机构信息

Department of General surgery, Bethune International Peace Hospital, No. 398, Zhongshan West Road, Qiaoxi District, Shijiazhuang, 050051, Hebei Province, China.

出版信息

Orphanet J Rare Dis. 2024 Aug 17;19(1):302. doi: 10.1186/s13023-024-03303-w.

DOI:10.1186/s13023-024-03303-w
PMID:39154182
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11330121/
Abstract

BACKGROUND

Madelung's disease (MD), alternatively referred to as benign symmetric lipomatosis, multiple symmetric lipomatosis, or Launois-Bensaude syndrome, is an uncommon benign disorder marked by symmetric proliferation of adipose tissue in the head, neck, and torso regions.

CASE DESCRIPTION

In this case, the patient was a female with the late middle-aged demographic, diagnosed with Type I MD. Notably, she exhibited no prior history of alcohol consumption, and there was no family history of MD. Subsequent to the clinical diagnosis, the patient underwent medical imaging assessments to delineate the surgical parameters. Post-surgery, she demonstrated a favorable recovery trajectory, marked by the absence of any surgical complications.

RESULT

The patient underwent successful surgical excision of the lipomatous mass. Postoperatively, she had an uneventful recovery with no complications and no recurrence observed during the follow-up period of seven months.

CONCLUSION

Timely diagnosis and early surgical intervention play a pivotal role in enhancing the quality of life for individuals with MD. Preoperative medical imaging examinations function as highly effective tools, contributing to heightened surgical safety and a decreased probability of encountering complications during the surgical procedure.

摘要

背景

Madelung 病(MD),也称为良性对称性脂肪瘤病、多发性对称性脂肪瘤病或 Launois-Bensaude 综合征,是一种罕见的良性疾病,其特征是头部、颈部和躯干区域的脂肪组织对称增生。

病例描述

本例患者为女性,年龄处于中年后期,诊断为 1 型 MD。值得注意的是,她没有饮酒史,也没有 MD 的家族史。在临床诊断后,对患者进行了医学影像学评估以划定手术参数。手术后,她的恢复情况良好,没有出现任何手术并发症。

结果

患者成功接受了脂肪瘤肿块的手术切除。术后,她恢复顺利,没有并发症,在七个月的随访期间没有复发。

结论

及时诊断和早期手术干预对改善 MD 患者的生活质量至关重要。术前医学影像学检查是一种非常有效的工具,可以提高手术安全性,降低手术过程中发生并发症的概率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2a7/11330121/9d2a0dff91b4/13023_2024_3303_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2a7/11330121/ce9d48e28907/13023_2024_3303_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2a7/11330121/5f979c7bbe38/13023_2024_3303_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2a7/11330121/516b69a059e2/13023_2024_3303_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2a7/11330121/9d2a0dff91b4/13023_2024_3303_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2a7/11330121/ce9d48e28907/13023_2024_3303_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2a7/11330121/5f979c7bbe38/13023_2024_3303_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2a7/11330121/516b69a059e2/13023_2024_3303_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2a7/11330121/9d2a0dff91b4/13023_2024_3303_Fig4_HTML.jpg

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本文引用的文献

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Lipectomy for madelung disease using tumescent technique: a cross-sectional study.采用肿胀技术治疗马德隆病的脂肪抽吸术:一项横断面研究。
Ann Med Surg (Lond). 2023 May 16;85(6):2550-2558. doi: 10.1097/MS9.0000000000000806. eCollection 2023 Jun.
2
Exploration of Influencing Factors for Postoperative Recurrence in Patients with Madelung's Disease on the Basis of Multivariate Stepwise Cox Regression Analysis.基于多因素逐步Cox回归分析的马德隆病患者术后复发影响因素探究
Clin Cosmet Investig Dermatol. 2023 Jan 15;16:103-110. doi: 10.2147/CCID.S368273. eCollection 2023.
3
Madelung's Disease: Analysis of Clinical Characteristics, Fatty Mass Distribution, Comorbidities and Treatment of 54 Patients in China.
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Diabetes Metab Syndr Obes. 2022 Aug 6;15:2365-2375. doi: 10.2147/DMSO.S363836. eCollection 2022.
4
Madelung's Disease as an Example of a Metabolic Disease Associated with Alcohol Abuse-Diagnostic Importance of Computed Tomography.马德隆病作为与酒精滥用相关的代谢性疾病的一个例子——计算机断层扫描的诊断重要性。
Int J Environ Res Public Health. 2022 Apr 24;19(9):5168. doi: 10.3390/ijerph19095168.
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Multiple symmetric and multiple familial lipomatosis.多发性对称性和家族性脂肪瘤病。
Presse Med. 2021 Nov;50(3):104077. doi: 10.1016/j.lpm.2021.104077. Epub 2021 Oct 21.
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Madelung's disease with alcoholic liver disease and acute kidney injury: A case report.马德隆病合并酒精性肝病和急性肾损伤:一例报告
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Aesthetic Plast Surg. 2022 Apr;46(Suppl 1):22-23. doi: 10.1007/s00266-021-02474-2. Epub 2021 Jul 23.
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Madelung Disease Epidemiology and Clinical Characteristics: a Systemic Review.马德隆病的流行病学和临床特征:系统评价。
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Br J Biomed Sci. 2020 Jan;77(1):48-52. doi: 10.1080/09674845.2019.1656497. Epub 2019 Sep 6.