Karmody C S, Fortson J K, Calcaterra V E
Otolaryngol Head Neck Surg. 1982 May-Jun;90(3 Pt 1):283-8.
Lymphangiomas are considered to be congenital malformations of lymphatic channels. Fifty percent to 60% of these lesions are present at birth, with 80% to 90% detected by the second year of life. These lesions are rare in adults but may occur as late as the fifth decade of life. Primary lymphangiomas of the hypopharynx and upper aerodigestive tract are exceedingly rare in adults. The clinical courses of three adults with lymphangiomas of the head and neck are presented. In one case the lesion was confined to the hypopharynx. The literature contains considerable discussion about congenital lymphangiomas; few studies, however, have addressed this problem specifically in the adult population. The clinical appearance, difficulties of diagnosis, and guidelines of treatment are discussed.
淋巴管瘤被认为是淋巴管的先天性畸形。这些病变中有50%至60%在出生时就已存在,80%至90%在生命的第二年被发现。这些病变在成人中很少见,但也可能在生命的第五个十年才出现。下咽和上呼吸道消化道的原发性淋巴管瘤在成人中极为罕见。本文介绍了三名患有头颈部淋巴管瘤的成人的临床病程。其中一例病变局限于下咽。文献中对先天性淋巴管瘤有大量讨论;然而,很少有研究专门针对成人人群中的这一问题。本文讨论了其临床表现、诊断难点及治疗指南。