后天性淋巴管瘤21例临床分析

Acquired lymphangioma

目的探讨后天性或继发性淋巴管瘤的病因及诊治.方法对21例疑为后天性或继发性淋巴管瘤病例的临床资料、治疗及疗效进行回顾性分析.结果 21例淋巴管瘤均有原发病因的存在,随原发病的好转或治愈,而淋巴管瘤好转或治愈.对部分治疗无效采用肿瘤内平阳霉素及确炎舒松A联合注射治疗1～3次治愈.结论淋巴管瘤并非完全为先天性脉管发育畸形,部分淋巴管瘤可能为后天性或继发性淋巴管受压阻塞形成.临床医师应仔细地进行鉴别诊断,避免原发病的漏诊及漏治.针对原发病因治疗及肿瘤内注射平阳霉素及确炎舒松A联合治疗,可取得满意效果.

Objective To study the pathogenesis and treatment of acquired lymphangioma.Methods Twenty-one cases of suspected acquired lymphangioma were analysed retrospectively for their clinical information, treatment and therapeutic effect.Results All the cases were caused by their primary disease and were partly or totally cured by eliminating their etiological factors.We also have satisfactory effect for combined treatment with pingyangmycin and triamcinolone acetonide for 1-3 times to treat the refractory cases.Conclusion Not all the lymphangioma are primary,some cases of lymphangioma are secondary to depression of lymphatic vessel .We should diagnose carefully to avoid the misdiagnosis of primary diseases. Treaatment to primary disease and intratumor injection with pingyangmycin and triamcinolone acetonide can have a satisfied therapeutic effect.