摘要
目的探讨成人大网膜囊性淋巴管瘤的临床诊治特点。方法根据患者临床表现,应用影像学、病理学等检查方法,确诊并治疗大网膜囊性淋巴管瘤1例,结合相关文献复习并讨论。结果患者的主要临床表现为腹右下腹隐痛,右下腹可扪及一质中包块,边界不清,可推动;CT检查提示斑片状低密度影,增强后无强化,CT值约27 HU;术后肿物病理检查为囊性肿物,大小约15 cm×13 cm×6.5 cm,囊壁和囊腔内发现淋巴细胞,符合囊性淋巴管瘤诊断;患者经开放性手术治疗后痊愈,术后随访6个月未见复发。结论大网膜囊性淋巴管瘤多无明显临床表现,B超、CT检查无特征性改变,确诊需要组织病理学检查,外科手术治疗效果良好。
Objective To study the clinical features of greater omentum cystic lymphangioma in adults.Methods A patient was diagnosed as greater omentum cystic lymphangioma based on the clinical manifestation, iconography and pathology.In this paper, literatures were reviewed.Results The main clinical manifestation of the patient contained that right lower abdominal pain, right low-er abdomen had one bag piece with unclearand movable boundary.CT findings showed cystic patchy had low density shadow with on strengthen after enhancement CT, and the CT unit was 27 HU.The patient underwent open surgery.Postoperative pathology found one cystic neoplasm.Its size was about 15 cm×13 cm×6.5 cm.The lymphocytes were found in the cystic wall and fluid, which confirmed the diagnosis of cystic lymphangioma.The follow-up was carried out for 6 months and no recurrence.Conclusion No characteristic clinical manifestations or characteristic changes by B-ultrasound and CT scan examinations could be found in patient with greater omen-tum cystic lymphangioma.The histopathological diagnosis was the most important.Surgical management had good outcomes.
出处
《东南国防医药》
2015年第4期380-382,共3页
Military Medical Journal of Southeast China
关键词
囊性淋巴管瘤
淋巴管瘤
腹腔肿瘤
大网膜
cystic lymphangioma
lymphangioma
abdominal tumor
greater omentum
