腹腔脏器淋巴管瘤的诊断和治疗20例

Diagnosis and treatment for abdominal lymphangioma:an analysis of 20 cases

目的:探讨腹腔脏器淋巴管瘤(LA)的诊断和治疗.方法:回顾分析我院1995-01/2007-01诊治的腹腔脏器LA患者20例临床资料.结果:20例均行手术,肿瘤最小为2cm×4cm,最大29cm×12cm.其中15例呈囊性,4例呈息肉融合成一片,1例呈脓肿样;单房性5例,多房性15例.病理检查示肿瘤由形状不规则的,扩张的淋巴管构成.20例患者随访8-400(平均210)mo;除行肿瘤活检术1例经随访45mo尚带瘤生存外,其他11例均未发现复发.结论:腹腔脏器LA是一种少见特殊类型的疾病,一经诊断应积极手术治疗,术中冰冻切片、术后病理检查,LA完整切除是关键.

AIM： To probe into the diagnosis and treatments for abdominal lymphangioma （LA）. METHODS： Clinical data of 20 patients with abdominal LA who received treatment in our hospital during 1995 and 2007 were retrospectively analyzed. RESULTS： All patients with tumors ranging from 2 cm × 4 cm to 29 cm × 12 cm routinely underwent operation. Of 20 cases, 15 cases were found to be cystic, 1 case abscess, and 4 cases to have merged polypi; 5 cases were unilocular, and 15 multilocular. Pathological results showed that the tumor was composed of irregular and expanded lymphatic vessels. The patients had a mean follow-up of 210 mo ranging from 8 to 400 too. Except for 1 case who survived 45 mo with tumor, all the rest experienced no recurrence of tumor. CONCLUSION： Abdominal LA is a rare and special condition of lymphatic tissue maldevelopment with diffused involvement. Definite diagnosis depends on pathological examination.The optimal treatment is complete surgical removal.