Magrina J F, Symmonds R E, Dahlin D C
Am J Obstet Gynecol. 1980 Mar 15;136(6):727-31. doi: 10.1016/0002-9378(80)90448-2.
Twelve patients with pelvic "lipolymph nodes" were seen at the Mayo Clinic during a period of 26 years. Most of the patients were perimenopausal or postmenopausal, and all but one were obese. The average size of the nodes was 6.6 cm, with the range being 2 to 14 cm. The most frequently involved nodes were the external iliac and obturator groups. Excretory urography and pelvic ultrasound scan (high-resolution scanner) were helpful in determining the extraperitoneal location and the solid nature of the tumors. Lymphangiography performed in one case was helpful in confirming the nodal origin of the pelvic tumor. Exploratory laparotomy was required to determine the exact nature of the lesion in all patients. The treatment consisted of simple removal of the involved nodes. No recurrences have been observed.
在26年的时间里，梅奥诊所共诊治了12例患有盆腔“脂肪淋巴结”的患者。大多数患者处于围绝经期或绝经后，除1例患者外均为肥胖者。淋巴结的平均大小为6.6厘米，范围在2至14厘米之间。最常受累的淋巴结是髂外淋巴结和闭孔淋巴结组。排泄性尿路造影和盆腔超声扫描（高分辨率扫描仪）有助于确定肿瘤的腹膜外位置和实性特征。1例患者进行的淋巴管造影有助于证实盆腔肿瘤的淋巴结起源。所有患者均需行剖腹探查术以确定病变的确切性质。治疗方法为单纯切除受累淋巴结。未观察到复发情况。
