Fung K, Poenaru D, Soboleski D A, Kamal I M
Department of Surgery, Queen's University, Kingston, Ontario, Canada.
J Pediatr Surg. 1998 Jun;33(6):839-41. doi: 10.1016/s0022-3468(98)90654-6.
The surgical management of cystic hygromas can be challenging, and accurate diagnosis and anatomic localization is essential. The literature on the use of magnetic resonance imaging (MRI) in pediatric cystic hygromas is sparse and mostly limited to radiological descriptions.
The authors present five cases of cystic hygromas in children ranging in age from 1 to 13 years. The preoperative MRI scans and patient charts were reviewed with attention to the clinical, radiological, surgical, and histological findings.
MRI produced highly detailed multiplanar renderings of the cystic hygromas that were both diagnostic and predictive of the subsequent intraoperative findings. This modality helped specifically in some cases to identify lesion extensions that required specific surgical attention. There were no recurrences or complications at a mean follow-up of 18 months.
The use of MRI in cystic hygromas can facilitate accurate diagnosis and assist in the preoperative planning, thereby contributing to the successful treatment of these lesions.
囊性水瘤的手术治疗具有挑战性，准确的诊断和解剖定位至关重要。关于磁共振成像（MRI）在儿科囊性水瘤中应用的文献稀少，且大多局限于放射学描述。
作者报告了5例年龄在1至13岁之间的儿童囊性水瘤病例。回顾了术前MRI扫描和患者病历，重点关注临床、放射学、手术和组织学结果。
MRI生成了囊性水瘤高度详细的多平面图像，这些图像对后续术中发现具有诊断和预测价值。这种检查方式在某些情况下特别有助于识别需要特殊手术处理的病变延伸。平均随访18个月时无复发或并发症。
MRI在囊性水瘤中的应用有助于准确诊断并协助术前规划，从而有助于这些病变的成功治疗。
