Messing E M, Love R R, Kvols L K
Cancer. 1986 Feb 15;57(4):871-4. doi: 10.1002/1097-0142(19860215)57:4<871::aid-cncr2820570431>3.0.co;2-c.
A patient is presented in whom a lymphocele developed after a retroperitoneal lymph node dissection for Stage II embryonal carcinoma of the testicle. The benign nature of this lymphocele has been confirmed not only by the diagnostic procedures outlined, but by its stability over a 42-month follow-up period with no further antitumor therapy. We conclude from reviewing the literature that while aggressive measures are necessary to confirm the diagnosis of a lymphocele, its management should be expectant. If significant obstruction of neighboring structures occurs, an attempt at percutaneous drainage (and possibly sclerosis) seems appropriate despite potential risks of interventional treatment such as hemorrhage and introduction of infection. Open procedures for marsupialization and drainage should be reserved for cases in which more conservative measures fail.
本文介绍了一名患者，其在接受睾丸II期胚胎癌腹膜后淋巴结清扫术后出现了淋巴管瘤。这种淋巴管瘤的良性性质不仅通过上述诊断程序得以证实，还通过其在42个月的随访期内保持稳定且未进行进一步抗肿瘤治疗得到了确认。我们通过回顾文献得出结论，虽然需要采取积极措施来确诊淋巴管瘤，但其治疗应采取观察等待的方式。如果相邻结构出现明显梗阻，尽管介入治疗存在出血和感染等潜在风险，但尝试经皮引流（可能还包括硬化治疗）似乎是合适的。对于更保守措施失败的病例，应保留开放性袋形缝合术和引流术。
