腹部淋巴管瘤21例诊治分析_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 李腾宇 ,  许元鸿 , 刘哲 , 张仲博 , 郭克建 , 郭仁宣

中国医科大学附属第一医院胰腺外科（辽宁沈阳 110001）;

Corresponding author：

许元鸿, Email: xyhcmu@sina.com

Keywords：

淋巴管瘤; 诊断; 治疗

DOI：

10.7507/1007-9424.20150191

Video：

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Abstract Full text Figures/Tables Video References Cited by

目的总结腹部淋巴管瘤的诊断和治疗。方法回顾性分析中国医科大学附属第一医院2010年1月至2014年6月期间收治的21例腹部淋巴管瘤患者的临床资料。结果 21例患者中，行MRI检查1例，发现肝右叶下方长T1长T2信号团影；行腹部超声检查16例，发现腹部囊状无回声肿物15例；行腹部CT检查21例，均发现腹部囊性低密度肿物。21例患者术前诊断为腹部肿物18例，腹部淋巴管瘤3例。所有患者均行手术治疗，经术后病理学检查确诊。肿瘤均为单发囊性，单房13例，多房8例；肿瘤4 cm×3 cm×3 cm～30 cm×20 cm×10 cm大。术后19例患者获访，随访时间4～48个月，中位数为18个月。随访期间所有患者均未复发。结论腹部淋巴管瘤的术前诊断较困难，首选CT检查。手术切除是其首选治疗方式，肿瘤的完全切除是预防复发的关键。

Citation： 李腾宇, 许元鸿, 刘哲, 张仲博, 郭克建, 郭仁宣. 腹部淋巴管瘤21例诊治分析. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(6): 735-736. doi: 10.7507/1007-9424.20150191 Copy

1.	Richmond B, Kister N. Adult presentation of giant retroperitoneal cystic lymphangioma:case report. Int J Surg, 2009, 7(6):559-560.
2.	Kwag E, Shim SS, Kim Y, et al. CT features of generalized lymphangiomatosis in adult patients. Clin Imaging, 2013, 37(4):723-727.
3.	Van Oudheusden TR, Nienhuijs SW, Demeyere TB, et al. Giant cystic lymphangioma originating from the lesser curvature of the stomach. World J Gastrointest Surg, 2013, 5(10):264-267.
4.	Ratajczak A, Szmeja J, Lukaszuk M, et al. Lymphatic angioma of mesentery of the small intestine:a case report. Pol Przegl Chir, 2011, 83(1):48-50.
5.	Leung TK, Lee CM, Shen LK, et al. Differential diagnosis of cystic lymphangioma of the pancreas based on imaging features. J Formos Med Assoc, 2006, 105(6):512-517.
6.	Suthiwartnarueput W, Kiatipunsodsai S, Kwankua A, et al. Lymphangioma of the small bowel mesentery:a case report and review of the literature. World J Gastroenterol, 2012, 18(43):6328-6332.
7.	Rieker RJ, Quentmeier A, Weiss C, et al. Cystic lymphangioma of the small-bowel mesentery:case report and a review of the literature. Pathol Oncol Res, 2000, 6(2):146-148.
8.	Ghritlaharey RK. Management of giant cystic lymphangioma in an infant. J Clin Diagn Res, 2013, 7(8):1755-1756.
9.	Makni A, Chebbi F, Fetirich F, et al. Surgical management of intra-abdominal cystic lymphangioma. Report of 20 cases. World J Surg, 2012, 36(5):1037-1043.
10.	Ellis CL, Banerjee P, Carney E, et al. Adrenal lymphangioma:clinicopathologic and immunohistochemical characteristics of a rare lesion. Hum Pathol, 2011, 42(7):1013-1018.
11.	Sanal HT, Kocaoglu M, Yildirim D, et al. Imaging features of benign adrenal cysts. Eur J Radiol, 2006, 60(3):465-469.
12.	Nagata H, Yonemura Y, Canbay E, et al. Differentiating a large abdominal cystic lymphangioma from multicystic mesothelioma:report of a case. Surg Today, 2014, 44(7):1367-1370.
13.	冯娟娟, 袁德全, 沈雪峰, 等.腹部囊性淋巴管瘤的CT及MRI诊断.中国临床医学影像杂志, 2013, 24(10):745-747.
14.	Leland HA, Lee JT, Tan JH, et al. Cystic lymphangioma of the lesser curvature of the stomach-case report. J Radiol Case Rep, 2011, 5(5):31-37.
15.	Rana A, Katzman PJ, Pegoli W, et al. An unusual cause of abdominal pain:duodenal cystic lymphangioma. Gastroenterol Hepatol (N Y), 2013, 9(3):192-195.
16.	Kim BS, Sbar AD, Jatoi I. Intra-abdominal cystic lymphangioma. Surgery, 2000, 128(5):834-835.
17.	Castañón M, Margarit J, Carrasco R, et al. Long-term follow-up of nineteen cystic lymphangiomas treated with fibrin sealant. J Pediatr Surg, 1999, 34(8):1276-1279.

1. Richmond B, Kister N. Adult presentation of giant retroperitoneal cystic lymphangioma:case report. Int J Surg, 2009, 7(6):559-560.
2. Kwag E, Shim SS, Kim Y, et al. CT features of generalized lymphangiomatosis in adult patients. Clin Imaging, 2013, 37(4):723-727.
3. Van Oudheusden TR, Nienhuijs SW, Demeyere TB, et al. Giant cystic lymphangioma originating from the lesser curvature of the stomach. World J Gastrointest Surg, 2013, 5(10):264-267.
4. Ratajczak A, Szmeja J, Lukaszuk M, et al. Lymphatic angioma of mesentery of the small intestine:a case report. Pol Przegl Chir, 2011, 83(1):48-50.
5. Leung TK, Lee CM, Shen LK, et al. Differential diagnosis of cystic lymphangioma of the pancreas based on imaging features. J Formos Med Assoc, 2006, 105(6):512-517.
6. Suthiwartnarueput W, Kiatipunsodsai S, Kwankua A, et al. Lymphangioma of the small bowel mesentery:a case report and review of the literature. World J Gastroenterol, 2012, 18(43):6328-6332.
7. Rieker RJ, Quentmeier A, Weiss C, et al. Cystic lymphangioma of the small-bowel mesentery:case report and a review of the literature. Pathol Oncol Res, 2000, 6(2):146-148.
8. Ghritlaharey RK. Management of giant cystic lymphangioma in an infant. J Clin Diagn Res, 2013, 7(8):1755-1756.
9. Makni A, Chebbi F, Fetirich F, et al. Surgical management of intra-abdominal cystic lymphangioma. Report of 20 cases. World J Surg, 2012, 36(5):1037-1043.
10. Ellis CL, Banerjee P, Carney E, et al. Adrenal lymphangioma:clinicopathologic and immunohistochemical characteristics of a rare lesion. Hum Pathol, 2011, 42(7):1013-1018.
11. Sanal HT, Kocaoglu M, Yildirim D, et al. Imaging features of benign adrenal cysts. Eur J Radiol, 2006, 60(3):465-469.
12. Nagata H, Yonemura Y, Canbay E, et al. Differentiating a large abdominal cystic lymphangioma from multicystic mesothelioma:report of a case. Surg Today, 2014, 44(7):1367-1370.
13. 冯娟娟, 袁德全, 沈雪峰, 等.腹部囊性淋巴管瘤的CT及MRI诊断.中国临床医学影像杂志, 2013, 24(10):745-747.
14. Leland HA, Lee JT, Tan JH, et al. Cystic lymphangioma of the lesser curvature of the stomach-case report. J Radiol Case Rep, 2011, 5(5):31-37.
15. Rana A, Katzman PJ, Pegoli W, et al. An unusual cause of abdominal pain:duodenal cystic lymphangioma. Gastroenterol Hepatol (N Y), 2013, 9(3):192-195.
16. Kim BS, Sbar AD, Jatoi I. Intra-abdominal cystic lymphangioma. Surgery, 2000, 128(5):834-835.
17. Castañón M, Margarit J, Carrasco R, et al. Long-term follow-up of nineteen cystic lymphangiomas treated with fibrin sealant. J Pediatr Surg, 1999, 34(8):1276-1279.

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腹部淋巴管瘤21例诊治分析

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