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全球首例舌部海绵状淋巴管瘤的手术治疗:病例报告

Surgical management of the second cavernous lymphangioma in the tongue globally: A case report.

作者信息

Khouri Eiad, Hamdy Jafar, Kadour Mohammad Alsheekh

机构信息

Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Tishreen University, Lattakia, Syria.

Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Tishreen University, Lattakia, Syria.

出版信息

Int J Surg Case Rep. 2025 Feb;127:110863. doi: 10.1016/j.ijscr.2025.110863. Epub 2025 Jan 11.

DOI:10.1016/j.ijscr.2025.110863
PMID:39848080
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11795064/
Abstract

INTRODUCTION AND IMPORTANCE

Oral Lymphangioma is a rare benign tumor that arises from the lymphatic vessels in oral cavity. It is a development defect in the lymphatic system, which is less common than other types of vascular anomalies, and the incidence in the general population is very low, especially in the oral cavity. It typically presents as soft, painless swelling, often found on the tongue, lips or floor or the mouth. The lesions can vary in size and may have a translucent appearance, sometimes resembling a cyst.

CASE PRESENTATION

A 13-year-old male complaint of congenital diffuse, painless swelling of the lateral side of the tongue. The swelling was soft and compressible and involved half of the tongue. Incisional biopsy from the lesion can confirm the diagnosis by showing dilated lymphatic vessels histologically.

CLINICAL DISCUSSION

Oral lymphangioma is a rare tumor found in the oral cavity, occurring at various sites but most commonly on the tongue. This often leads to macroglossia, presenting as a compressible, painless swelling that typically necessitates surgical excision when it causes functional issues.

CONCLUSION

Oral lymphangioma generally has a good prognosis, especially when treated appropriately. However, they can recur if not completely excised.

摘要

引言与重要性

口腔淋巴管瘤是一种罕见的良性肿瘤,起源于口腔内的淋巴管。它是淋巴系统的一种发育缺陷,比其他类型的血管畸形少见,在普通人群中的发病率很低,尤其是在口腔。它通常表现为柔软、无痛的肿胀,常见于舌头、嘴唇或口腔底部。病变大小不一,可能呈半透明外观,有时类似囊肿。

病例介绍

一名13岁男性,主诉先天性舌外侧弥漫性无痛肿胀。肿胀柔软且可压缩,累及半侧舌头。病变部位的切开活检通过组织学显示扩张的淋巴管可确诊。

临床讨论

口腔淋巴管瘤是一种在口腔中发现的罕见肿瘤,发生于不同部位,但最常见于舌头。这常导致巨舌症,表现为可压缩、无痛的肿胀,当引起功能问题时通常需要手术切除。

结论

口腔淋巴管瘤总体预后良好,尤其是治疗适当时。然而,如果未完全切除,可能会复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67a0/11795064/72956bd6db03/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67a0/11795064/e22cddae01cf/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67a0/11795064/ea8262c61a59/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67a0/11795064/fda939d98517/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67a0/11795064/064786e9b3d3/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67a0/11795064/7488153b9b44/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67a0/11795064/202e080842fe/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67a0/11795064/c3e4e99f49bb/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67a0/11795064/72956bd6db03/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67a0/11795064/e22cddae01cf/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67a0/11795064/ea8262c61a59/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67a0/11795064/fda939d98517/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67a0/11795064/064786e9b3d3/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67a0/11795064/7488153b9b44/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67a0/11795064/202e080842fe/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67a0/11795064/c3e4e99f49bb/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67a0/11795064/72956bd6db03/gr8.jpg

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