摘要
目的探讨肠系膜淋巴管瘤的临床表现、影像学特点及病理学特征。方法收集14例肠系膜淋巴管瘤患者的临床资料,回顾性分析其临床病理特征及影像学表现。结果 14例肠系膜淋巴管瘤临床症状多样化,以腹部胀痛不适多见。术前影像学检查:2例CT示淋巴管瘤,5例仅提示囊性占位,2例诊断为其他肿瘤,3例肠梗阻或肠扭转或肠套叠,2例未见明显病变。病变主体多位于肠系膜并累及肠壁,镜下呈多房囊腔,内衬单层扁平细胞,管腔内可见淋巴液及淋巴细胞。免疫组化标记瘤细胞均表达D2-40。结论肠系膜淋巴管瘤属良性肿瘤,应警惕并发症,术前影像学检查可提示诊断,明确诊断依赖病理学检查。
Purpose To investigate the clinical manifestations,imaging characteristics and pathological features of mesenteric lymphangioma. Methods The clinical pathological and imaging features of 14 cases diagnosed mesenteric lymphangioma were retrospectively analyzed. Results 14 cases of mesenteric lymphangioma appeared diversity of clinical symptoms,most presenting abdominal pain and discomfort. Cystic lesion had often been diagnosed and only 2 cases were recognized as lymphangioma by imaging examination. These tumors usually located in the mesentery and some involved intestinal wall. Microscopically,the tumors were consisted of irregular cavities,lined with simple flat endothelial cells,filled with lymph fluid and lymphocytes. All cases showed strong D2-40 immunoreactivity. Conclusion Mesenteric lymphangioma is a benign tumor with serious complications,and preoperative CT imaging studies may prompt the diagnosis. Resection completely is the preferred treatment.
出处
《临床与实验病理学杂志》
CAS
CSCD
北大核心
2014年第11期1256-1258,1262,共4页
Chinese Journal of Clinical and Experimental Pathology
关键词
淋巴管瘤
肠系膜
临床表现
影像学
病理学特征
lymphangioma
mesentery
clinical manifestations
imaging
pathological features
