Castañón García-Alix M, Margarit Mallol J, García Baglietto A, Martín Hortiguera M E, Morales Fochs L
Servicio de Cirugía Pediátrica, Hospital Clínic-Hospital, Sant Joan de Déu, Barcelona.
Cir Pediatr. 1996 Jan;9(1):36-9.
We present twelve cases of cystic lymphangioma in the neck and one in the leg, treated with fibrina adhesive injected into the lesion, during the periode 1991-1994. Two cases had been surgically treated and experimental recurrence of the tumor previous to our treatment. In the other ten the punction was the only therapy applied. Four cases needed two punctions and only one of then after two failed punctions, had be treated with surgical extripation. The follow up was between 3 and 42 months, with a mean of 26.5 months. No complications appeared. The ecografic follow up demonstrated a complete remission in the ten cases treated only with punction. We believe that our results support the fact that the punction-aspiration and posterior Tissucol infection is the first choice in the surgical treatment of the cystic lymphangioma.
我们报告了1991年至1994年期间,采用向病变部位注射纤维蛋白粘合剂治疗的12例颈部囊状淋巴管瘤和1例腿部囊状淋巴管瘤。其中2例在我们治疗前已接受手术治疗且肿瘤出现复发病例。另外10例仅接受了穿刺治疗。4例需要进行两次穿刺,其中只有1例在两次穿刺失败后接受了手术切除。随访时间为3至42个月,平均为26.5个月。未出现并发症。超声随访显示,仅接受穿刺治疗的10例患者完全缓解。我们认为,我们的结果支持穿刺抽吸并注入纤维蛋白粘合剂是囊状淋巴管瘤外科治疗的首选方法这一观点。