原发性腹膜后巨大淋巴管瘤1例报告并文献复习

吴涛; 李刚; 王准; 姜明东; 牛远杰

原发性腹膜后巨大淋巴管瘤1例报告并文献复习

- 天津医科大学第二医院泌尿外科, 天津市泌尿外科研究所, 天津市泌尿外科基础医学重点实验室(天津, 300211)

详细信息

通讯作者: 牛远杰,E-mail:niuyuanjie@gmail.com

中图分类号: R735.4

收稿日期: 2012-05-15

Enormous primary retroperitoneal lymphangioma: a case report and literature review

- Second Hospital of Tianjin Medical University, Tianjin Institute of Urology, Tianjin Department of Urology of Basic Medical Laboratory, Tianjin, 300211, China

More Information

Corresponding author: NIU Yuanjie, E-mail: niuyuanjie@gmail.com

Received Date: 15 May 2012

摘要

摘要: 目的：提高原发性腹膜后淋巴管瘤的诊治水平。方法：报道1例原发性腹膜后淋巴管瘤患者的诊治过程，术前诊断腹膜后囊肿，行单孔腹腔镜双侧腹膜后囊肿切除术。结果：术后病理（腹膜后囊肿）检材由扩张的淋巴管组成，囊壁由内皮细胞、平滑肌及纤维组织组成，符合腹膜后淋巴管瘤。术后随访6个月未见复发。结论：原发性腹膜后淋巴瘤是一种良性病变，临床罕见，确诊需结合术后病理和影像学表现，手术切除是最佳治疗方式。
- 淋巴管瘤 /
- 腹膜后的 /
- 单孔腹腔镜
Abstract: Objective: To enhance the level of management of primary retroperitoneal lymphangioma.Method: The clinical data of one patient with primary retroperitoneal lymphangioma was reported and literature was reviewed. Preoperative diagnosis was retroperitoneal cyst. Then the bilateral retroperitoneal cysts were resected by single-port laparoscope.Result: The postoperative pathology confirmed that the tissues consisted of enlarged lymphatic vessels, and the cystic wall was composed of endothelial cells, smooth muscles and fibrous tissues. Such result was agreed with the former diagnosis of retroperitoneal lymphangioma. The patient was free from recurrence after six months of follow-up period.Conclusion: Primary retroperitoneal lymphangioma is a rare benign lesion. The combination of pathologic and iconographic examination can support the diagnosis of retroperitoneal lymphangioma. The best treatment is the surgical resection.
- lymphangioma /
- retroperitoneal /
- single-port laparoscope

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参考文献(13)

[1]	Bhavsar T, Saeed-Vafa D, Harbison S, et al. Retroperitoneal cystic lymphangioma in an adult:A case report and review of the literature[J]. World J Gastrointest Pathophysiol, 2010,1(5):171-176.
[2]	Kasza J, Brody F J, Khambaty F, et al. Laparoscopic resection of a retroperitoneal cystic lymphangioma in an adult[J]. Surg Laparosc Endosc Percutan Tech, 2010, 20(3):e114-e116.
[3]	Konez O, Vyas P K, Goyal M. Disseminated lymphangionmatois presenting with massive chyothorax[J]. Pediatr Radiol, 2000, 30 (1):35-37.
[4]	Seki H, Ueda T, Kasuya T, et al. Lymphangioma of the jejunum and mesentery presenting with acute abdomen in an adult[J]. J Gast roenterol, 1998, 33 (1):107-111.
[5]	Shahriari A, Odell J A. Cervical and thoracic components of multiorgan lymphangiomatosis managed surgically[J]. Ann Thorac Surg, 2000, 71 (2):694-696.
[6]	Alqahtani A, Nguyen L T, Flageole H, et al. 25 years' experience with lymphangiomas in children[J]. J Pediatr Surg, 1999, 34 (7):1164-1168.
[7]	Ozdemir H, Kocakoc E, Bozgeyik Z, et al. Recurrent retroperitoneal cystic lymphangioma[J]. Yonsei Med J, 2005, 46(5):715-718.[ZK)]
[8]	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.
[9]	李刚, 张烨, 杨智, 等. 肾淋巴管扩张症的临床分析[J]. 中华泌尿外科杂志, 2011, 32(9):622-625.
[10]	李建军, 刘小平, 李荣. 淋巴管瘤的诊断与和治疗进展[J]. 中国现代普通外科发展杂志, 2004, 7(1):10-12.
[11]	Yagihashi Y, Kato K, Nagahama K, et al. A case of laparoscopic excision of a huge retroperitoneal cystic lymphangioma[J]. Case Rep Urol, 2011:712520.
[12]	Tsukamoto T, Tanaka S, Yamamoto T, et al. Laparoscopic excision of a retroperitoneal cystic lymphangioma:report of a case[J]. Surg Today, 2003, 33(2):142-144.
[13]	胡斌, 权昌益, 李刚, 等. 经脐单孔腹腔镜治疗双侧肾囊肿(附10例报告)[J]. 临床泌尿外科杂志, 2012, 27(7):514-516.