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[儿童纵隔淋巴管瘤的诊断]

[The diagnosis of mediastinal lymphangioma in children].

作者信息

Hoeffel J C, Adil A, Mainard L, Galloy M A, Arnould V, Ksiyer M

机构信息

Service de Radiologie Pédiatrique, Hôpital d'Enfants, Vandoeuvre-lès-Nancy.

出版信息

Rev Mal Respir. 1996 Jul;13(3):287-93.

PMID:8765922
Abstract

On the basis of personal observation of four cases, the authors discuss the diagnostic aspects in this disease. Before birth, the diagnosis should be made by echography. After birth, magnetic resonance imaging scanning (IRM) is the method showing two types of cystic lymphangioma; a monomorphic and a polymorphic type. IRM is particularly valuable for the assessment of the extent of the disease all the more so as these tumours are often infiltrating. One should also recognise cervicomediastinal lymphangiomas which are more frequent in the very young and in whom the diagnosis is easy but one should not ignore the mediastinal component and those lymphangiomas which are purely mediastinal.

摘要

基于对4例病例的个人观察,作者讨论了该疾病的诊断方面。出生前,应通过超声检查进行诊断。出生后,磁共振成像扫描(MRI)是显示两种类型囊性淋巴管瘤的方法;单形性和多形性类型。MRI对于评估疾病范围特别有价值,尤其是因为这些肿瘤常常具有浸润性。还应认识到颈纵隔淋巴管瘤在幼儿中更为常见,其诊断容易,但不应忽视纵隔成分以及那些纯纵隔淋巴管瘤。

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