CT Diagnosis and Treatment of Retroperitoneal Cystic Lymphangioma(Report of 5 Cases)_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

何勇 , 梁锐 , 高振明 ,  王立明

Corresponding author：

王立明, Email: wangbcc259@yahoo.com.cn

Keywords：

囊性淋巴管瘤; CT诊断; 治疗; 手术

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目的探讨腹膜后囊性淋巴管瘤的CT诊断价值和治疗方法。方法回顾性分析2004年6月至2010年5月期间我院收治的5例经病理检查证实的腹膜后囊性淋巴管瘤患者的临床表现、CT影像特征、手术治疗及术后随访的资料。结果 5例患者术前CT均诊断为囊性淋巴管瘤，均行手术完整切除肿瘤，术后病理结果均证实为囊性淋巴管瘤。术后7 d顺利出院，随访3个月～6年均无复发。结论 CT对腹膜后囊性淋巴管瘤的诊断具有重要意义，手术完整切除整个囊壁是治疗及预防术后复发的最好方法。

Citation： 何勇,梁锐,高振明,王立明. CT Diagnosis and Treatment of Retroperitoneal Cystic Lymphangioma(Report of 5 Cases). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2010, 17(12): 1304-1305. doi: Copy

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2.	胡少平, 宋淮, 周立强, 等. 腹膜后巨大囊性淋巴管瘤1例分析 [J]. 中国误诊学杂志, 2008； 8（34）： 8535-8536.
3.	陈泓磊, 陈创奇, 陈正煊, 等. 腹膜后巨大囊性淋巴管瘤1例报道 [J]. 中国普外基础与临床杂志, 2009； 16(2): 91.
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5.	Erdem S, Iskender C, Avsar AF, et al. Benign cystic lymphangioma presenting as a pelvic mass [J]. J Obstet Gynaecol Res, 2006； 32(6): 628-630.
6.	Molitch HI, Unger EG, Witte CI, et al. Percutaneous sclerotherapy of lymphangiomas [J]. Radiology， 1995； 194(2): 343-347.
7.	Fisher D, Hiller N. Case report： giant tuberculous cystic lymphangioma of posterior mediastinum, retroperitanea and groin [J]. Clini Radiol, 1994； 49(3): 215-216.
8.	Dubois I, Gare L, Abela A, et al. Lymphanginomas in childrea: percutaneous sclerotherapy with an alcoholic solution of zein [J]． Radiology, 1997； 204(3)： 651-654．.
9.	Wadsworth DT, Nenman B, Abramson SJ, et al. Splenic lymphangiomatosis in children [J]. Radiology, 1997； 202(1): 173-176.
10.	Salimi Z, Fishbein M, Wolverson MK， et al. Pancreatic lymphanginoma: CT, MRI and angiographic features [J]. Gastrointest Radiol, 1991； 16（3）: 248-250.
11.	俞同福, 王德杭, 虞梅玲, 等. 囊性淋巴管瘤的CT诊断 [J]. 实用放射学杂志, 2004； 20(4): 361-363.
12.	de Perrot M, Rostan O, Morel P, et al. Abdominal lymphangioma in adults and children [J]. Br J Surg, 1998； 85(3)： 395-397.
13.	Rothenberg SS, Pokorny WJ. Use of argon beam ablation and sclerotherapy in the treatment of a case of life-threatening total abdominal lymphangiomatosis [J]. J Pediatr Surg, 1994； 29(2)： 322-323.
14.	Shahriari A, Odell JA. Cervical and thoracic components of multiorgan lymphangiomatosis managed surgically [J]. Ann Thorac Surg, 2001； 71(2): 694-696.
15.	Aneeshkumar MK, Kale S, Kabbani M， et al. Cystic lymphangioma in adults: can trauma be the trigger？ [J]. Eur Arch Otorhinolaryngol, 2005； 262(4): 335-337.
16.	王海涛, 董隽, 宋勇, 等. 腹膜后囊性淋巴管瘤的诊断与治疗 [J]. 中华泌尿外科杂志, 2005； 26(6): 419-421.

1. Shaffer K， Rosado-de-Christenson ML， Patz Jr EF Jr， et al. Thoracic lymphangioma in adults： CT and MR imaging features [J]. AJR Am J Roentgenol, 1994； 162（2）: 283-286.
2. 胡少平, 宋淮, 周立强, 等. 腹膜后巨大囊性淋巴管瘤1例分析 [J]. 中国误诊学杂志, 2008； 8（34）： 8535-8536.
3. 陈泓磊, 陈创奇, 陈正煊, 等. 腹膜后巨大囊性淋巴管瘤1例报道 [J]. 中国普外基础与临床杂志, 2009； 16(2): 91.
4. Rekhi BM, Esselstyn CB Jr, Levy I, et al. Retroperitoneal cystic lymphangioma. Report of two cases and review of the literature [J]. Cleve Clin Q， 1972； 39(3): 125-128．.
5. Erdem S, Iskender C, Avsar AF, et al. Benign cystic lymphangioma presenting as a pelvic mass [J]. J Obstet Gynaecol Res, 2006； 32(6): 628-630.
6. Molitch HI, Unger EG, Witte CI, et al. Percutaneous sclerotherapy of lymphangiomas [J]. Radiology， 1995； 194(2): 343-347.
7. Fisher D, Hiller N. Case report： giant tuberculous cystic lymphangioma of posterior mediastinum, retroperitanea and groin [J]. Clini Radiol, 1994； 49(3): 215-216.
8. Dubois I, Gare L, Abela A, et al. Lymphanginomas in childrea: percutaneous sclerotherapy with an alcoholic solution of zein [J]． Radiology, 1997； 204(3)： 651-654．.
9. Wadsworth DT, Nenman B, Abramson SJ, et al. Splenic lymphangiomatosis in children [J]. Radiology, 1997； 202(1): 173-176.
10. Salimi Z, Fishbein M, Wolverson MK， et al. Pancreatic lymphanginoma: CT, MRI and angiographic features [J]. Gastrointest Radiol, 1991； 16（3）: 248-250.
11. 俞同福, 王德杭, 虞梅玲, 等. 囊性淋巴管瘤的CT诊断 [J]. 实用放射学杂志, 2004； 20(4): 361-363.
12. de Perrot M, Rostan O, Morel P, et al. Abdominal lymphangioma in adults and children [J]. Br J Surg, 1998； 85(3)： 395-397.
13. Rothenberg SS, Pokorny WJ. Use of argon beam ablation and sclerotherapy in the treatment of a case of life-threatening total abdominal lymphangiomatosis [J]. J Pediatr Surg, 1994； 29(2)： 322-323.
14. Shahriari A, Odell JA. Cervical and thoracic components of multiorgan lymphangiomatosis managed surgically [J]. Ann Thorac Surg, 2001； 71(2): 694-696.
15. Aneeshkumar MK, Kale S, Kabbani M， et al. Cystic lymphangioma in adults: can trauma be the trigger？ [J]. Eur Arch Otorhinolaryngol, 2005； 262(4): 335-337.
16. 王海涛, 董隽, 宋勇, 等. 腹膜后囊性淋巴管瘤的诊断与治疗 [J]. 中华泌尿外科杂志, 2005； 26(6): 419-421.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

CT Diagnosis and Treatment of Retroperitoneal Cystic Lymphangioma(Report of 5 Cases)

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