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复杂淋巴管异常

Complex lymphatic anomalies.

作者信息

Alkhulaifat Dana, Ramirez-Suarez Karen I, Otero Hansel J, Rapp Jordan B, Srinivasan Abhay S, Smith Christopher L, Biko David M

机构信息

Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Perelman School of Medicine at The University of Pennsylvania, Philadelphia, PA, USA.

出版信息

Pediatr Radiol. 2025 Jan 24. doi: 10.1007/s00247-025-06167-9.

DOI:10.1007/s00247-025-06167-9
PMID:39853393
Abstract

Complex lymphatic anomalies are unique diseases marked by abnormal lymphatic vessel development and growth. Imaging is crucial in the evaluation and management of complex lymphatic anomalies, with dynamic contrast-enhanced MR lymphangiography emerging as a valuable modality for visualizing abnormal lymphatic structures and informing treatment decisions. This article gives an overview of complex lymphatic anomalies and their management strategies, focusing specifically on generalized lymphatic anomaly, Gorham-Stout disease, Kaposiform lymphangiomatosis, and central conducting lymphatic anomalies. Simple lymphatic diseases are beyond the scope of this review.

摘要

复杂性淋巴管畸形是一类独特的疾病,其特征为淋巴管发育和生长异常。影像学检查在复杂性淋巴管畸形的评估和管理中至关重要,动态对比增强磁共振淋巴管造影已成为一种有价值的检查方式,可用于显示异常淋巴管结构并为治疗决策提供依据。本文概述了复杂性淋巴管畸形及其管理策略,特别聚焦于泛发性淋巴管畸形、戈谢病、卡波西样淋巴管瘤病和中央传导性淋巴管畸形。单纯性淋巴管疾病不在本综述范围内。

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1
Complex lymphatic anomalies.复杂淋巴管异常
Pediatr Radiol. 2025 Jan 24. doi: 10.1007/s00247-025-06167-9.
2
How we approach the diagnosis and management of complex lymphatic anomalies.我们如何处理复杂的淋巴畸形的诊断和管理。
Pediatr Blood Cancer. 2022 Aug;69 Suppl 3:e28985. doi: 10.1002/pbc.28985. Epub 2021 Apr 12.
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Complex lymphatic anomalies.复杂性淋巴管异常
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Clinical Features and Prognosis of Generalized Lymphatic Anomaly, Kaposiform Lymphangiomatosis, and Gorham-Stout Disease.泛发性淋巴管异常、卡波西样淋巴管瘤病和戈勒姆-斯托特病的临床特征与预后
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Pathogenic variants in PIK3CA are associated with clinical phenotypes of kaposiform lymphangiomatosis, generalized lymphatic anomaly, and central conducting lymphatic anomaly.PIK3CA基因的致病性变异与卡波西样淋巴管瘤病、泛发性淋巴管异常和中央传导性淋巴管异常的临床表型相关。
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Lymphat Res Biol. 2023 Jun;21(3):230-243. doi: 10.1089/lrb.2022.0041. Epub 2023 Jan 27.

本文引用的文献

1
State-of-the-art imaging for children with central lymphatic disorders.儿童中央淋巴系统疾病的最新影像学技术。
Semin Pediatr Surg. 2024 Jun;33(3):151417. doi: 10.1016/j.sempedsurg.2024.151417. Epub 2024 May 22.
2
State-of-the-art imaging for lymphatic evaluation in children.儿童淋巴系统评估的最新影像学技术。
Pediatr Radiol. 2023 Jun;53(7):1380-1390. doi: 10.1007/s00247-022-05469-6. Epub 2022 Aug 18.
3
Lymphatic Disorders in Patients With Single Ventricle Heart Disease.单心室心脏病患者的淋巴系统疾病
Front Pediatr. 2022 Jun 10;10:828107. doi: 10.3389/fped.2022.828107. eCollection 2022.
4
Lymphatic Anomalies in Children: Update on Imaging Diagnosis, Genetics, and Treatment.儿童淋巴管畸形:影像学诊断、遗传学和治疗的最新进展。
AJR Am J Roentgenol. 2022 Jun;218(6):1089-1101. doi: 10.2214/AJR.21.27200. Epub 2022 Jan 19.
5
How we approach the diagnosis and management of complex lymphatic anomalies.我们如何处理复杂的淋巴畸形的诊断和管理。
Pediatr Blood Cancer. 2022 Aug;69 Suppl 3:e28985. doi: 10.1002/pbc.28985. Epub 2021 Apr 12.
6
Lymphatic and Mixed Malformations.淋巴管畸形和混合畸形。
Lymphat Res Biol. 2021 Feb;19(1):41-50. doi: 10.1089/lrb.2020.0100. Epub 2021 Jan 25.
7
Dynamic contrast-enhanced magnetic resonance lymphangiography in pediatric patients with central lymphatic system disorders.儿童中枢淋巴系统疾病的动态对比增强磁共振淋巴造影。
Radiol Med. 2021 May;126(5):737-743. doi: 10.1007/s11547-020-01309-5. Epub 2021 Jan 4.
8
The physiological and pathological functions of VEGFR3 in cardiac and lymphatic development and related diseases.VEGFR3 在心脏和淋巴管发育及相关疾病中的生理和病理功能。
Cardiovasc Res. 2021 Jul 7;117(8):1877-1890. doi: 10.1093/cvr/cvaa291.
9
Kaposiform lymphangiomatosis treated with multimodal therapy improves coagulopathy and reduces blood angiopoietin-2 levels.卡波西样血管淋巴管瘤病采用多模态治疗可改善凝血功能障碍并降低血液血管生成素-2 水平。
Pediatr Blood Cancer. 2020 Sep;67(9):e28529. doi: 10.1002/pbc.28529. Epub 2020 Jul 7.
10
Intramesenteric dynamic contrast pediatric MR lymphangiography: initial experience and comparison with intranodal and intrahepatic MR lymphangiography.肠系膜内动力对比小儿磁共振淋巴管造影:初步经验及与淋巴结内和肝内磁共振淋巴管造影的比较。
Eur Radiol. 2020 Oct;30(10):5777-5784. doi: 10.1007/s00330-020-06949-9. Epub 2020 May 27.