摘要
背景:成人腹部淋巴管瘤是罕见的消化道良性肿瘤。目的:探讨成人腹部淋巴管瘤的特点和预后。方法:回顾性分析2000年1月~2010年4月温州医学院附属第一医院经术后病理证实的17例成人腹部淋巴管瘤患者的临床资料、影像学检查、治疗和预后。结果:17例患者中,13例(76.5%)有症状或体征,4例(23.5%)无症状;7例肿瘤位于肠系膜.6例位于脾脏,2例位于腹膜后.2例位于肠道;13例腹部B超、14例腹部CT有阳性表现,2例内镜检查发现肿块。所有患者均行手术治疗.术后病理示16例为淋巴管瘤,1例为淋巴血管瘤,随访期间无患者复发。结论:成人腹部淋巴管瘤的诊断需综合患者的临床表现、影像学检查和组织病理学结果.手术是腹部淋巴管瘤的主要治疗措施,术后患者预后良好。
Background: Adult abdominal lymphangioma is a rare gastrointestinal benign tumor. Aims: To assess the characteristics and prognosis of adult abdominal lymphangioma. Methods: A retrospective analysis was performed in 17 cases of adult abdominal lymphangioma verified by postoperative histopathological examination from Jan. 2000 to Apr. 2010 at The First Affiliated Hospital of Wenzhou Medical College. The clinical data, imaging results, treatment and prognosis of the patients were analyzed. Results: Of the 17 patients, 13 (76.5%) were symptomatic, and 4 (23.5%) with no specific findings. Seven patients had abdominal lymphangioma in mesentery, 6 in spleen, 2 in retroperitoneum, and 2 in intestinal tract. Thirteen patients had positive findings in abdominal ultrasound, and 14 had positive findings in CT imaging. Intestinal mass was found in 2 patients by endoscopy. Surgical excision was conducted in all the patients and no recurrence occurred during follow-up. Postoperative histopathological examination revealed 16 cases of lymphangioma and 1 case of lymphangiohemangioma. Conclusions: The diagnosis of adult abdominal lymphangioma should be established by combining the clinical characteristics, imaging and histopathological results. The main treatment of abdominal lymphangioma is surgical excision, and the prognosis is generally good.
出处
《胃肠病学》
2011年第1期39-41,共3页
Chinese Journal of Gastroenterology
关键词
回顾性研究
腹部肿瘤
淋巴管瘤
诊断显像
诊断
治疗
预后
Retrospective Studies
Abdominal Neoplasms
Lymphangioma
Diagnostic Imaging
Diagnosis
Therapy
Progno