Postacchini F, Sadun R
Clin Orthop Relat Res. 1976 Nov-Dec(121):169-72.
Only 2 cases of lymphangioma of traumatic origin have been previously reported, and in both it was a matter of repeated microtraumas. This is a report of a circumscribed lymphangioma in a 22-year-old man after a severe direct trauma of the thigh. Five months after the trauma a painless, slowly growing mass appeared in this area. Histologically, the removed mass appeared to be a combination of cavernous and cystic lymphangioma. The development of this lesion, which must be considered a hamartoma, may possibly be attributable to a traumatic hematoma and to subsequent reactive fibrosis which may have blocked the lymph drainage possibly from a sequestrated portion of the primitive lymphatic anlage.
此前仅报道过2例创伤性起源的淋巴管瘤,且这两例均是反复微小创伤所致。本文报告1例22岁男性患者,在大腿遭受严重直接创伤后出现局限性淋巴管瘤。创伤后5个月,该部位出现一个无痛、缓慢生长的肿块。组织学检查显示,切除的肿块为海绵状和囊性淋巴管瘤的组合。这种病变的发生,必须被视为一种错构瘤,可能归因于创伤性血肿以及随后的反应性纤维化,后者可能阻塞了来自原始淋巴原基隔离部分的淋巴引流。