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[宫颈癌表皮样癌治疗14年后出现外阴淋巴管扩张。冷冻手术治疗]

[Vulvar lymphangiectasis 14 years after treatment for epidermoid carcinoma of the cervix. Treatment with cryosurgery].

作者信息

Serpier H, Frecourt C, Cambie M P, Salmon-Ehr V, Estève E, Kalis B

机构信息

Service de Dermatologie, Hôpital Robert-Debré, Reims.

出版信息

Ann Dermatol Venereol. 1996;123(2):96-9.

PMID:8761760
Abstract

INTRODUCTION

Lymphangiectasia are different from lymphangioma because they arise following damage to the deeper lymphatic vessels. No clinical or histological features are known to distinguish lymphangioma from lymphangiectasia.

CASE REPORT

We report a case of vulvar lymphangiectasia occurring 14 years after therapy of squamous carcinoma of the cervix (surgery and post-operative radiotherapy). Our treatment was cryosurgery.

DISCUSSION

We analysed the 12 case reports of vulvar lymphangiectasia in the literature, emphasizing misleading clinical aspect of the warty lesions and the risk of repeated infection justifying an appropriate treatment. We propose cryosurgery which provides real benefits with a minimal trauma.

摘要

引言

淋巴管扩张症与淋巴管瘤不同,因为它们是在深部淋巴管受损后出现的。目前尚无已知的临床或组织学特征可将淋巴管瘤与淋巴管扩张症区分开来。

病例报告

我们报告一例在宫颈癌(手术及术后放疗)治疗14年后发生的外阴淋巴管扩张症病例。我们采用的治疗方法是冷冻手术。

讨论

我们分析了文献中12例外阴淋巴管扩张症的病例报告,强调疣状病变具有误导性的临床表象以及反复感染的风险,这证明了采取适当治疗的合理性。我们建议采用冷冻手术,其创伤极小却能带来切实的益处。

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