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Mediastinal Cystic Lymphangioma-A Case Report and Literature Review

縱膈腔囊性淋巴管瘤

摘要


淋巴管瘤發生在成人縱膈腔是非常罕見。其發生部位,在頸部佔75%,腋窩部佔20%,而縱膈腔祗有1%。淋巴管瘤可以在縱膈腔任何部位發生,但好發於前縱膈腔。縱隔淋巴管瘤主要是在胸部X光檢查時意外發現,或發生壓迫症狀時才被發現。處理方法是以完全手術清除為主。這裡提供一個病例,並討論其發生率,病理及手術後乳糜胸的處理。

並列摘要


Cystic lymphangiomas are extremely rare mediastinal tumors in adult patients. They are usually located in the neck (75%) or axillary region (20%), with only 1% localized in the mediastinum. When present in the mediastinum, they can be located in all mediastinal compartments, with a predilection for the anterior mediastinum. The tumor is usually noticed when compression symptoms occur, or when it is accidentally found on the chest X-ray. Complete surgical resection is indicated for this tumor. We present a case and discuss the occurrence, pathogenesis, and management of the postoperative chylothorax of a cystic lymphangioma.

並列關鍵字

cystic lymphangioma chylothorax

延伸閱讀


  • 徐會棋、周永強、林從慶(1987)。縱膈腔惡性淋巴瘤當代醫學(169),922-924。https://doi.org/10.29941/MT.198711.0016
  • Chang, P. F., Teng, R. J., & Chang, M. H. (1997). 後腹腔的囊狀淋巴瘤:一病例報告. Acta Paediatrica Sinica, 38(4), 306-308. https://doi.org/10.7097/APS.199708.0306
  • Liu, C. M., Shen, K. L., & Chung, C. S. (1982). 昇結腸囊狀淋巴瘤-病例報告. Journal of Medical Sciences, 4(4), 1523-1527. https://www.airitilibrary.com/Article/Detail?DocID=10114564-198207-201404230003-201404230003-1523-1527
  • Wang, C. E., Chen, J. H., Yang, K. C., Yang, T. L., & Chen, B. F. (1992). 胃囊胞狀淋巴血管瘤:一病例報告. 中華民國消化系醫學會雜誌, 9(1), 37-41. https://doi.org/10.6557/GJTa.199203_9(1).0007
  • Huang, C. C., Liu, C. L., Lee, J. J., Tsai, C. C., & Liu, T. P. (2011). 胰臟囊狀淋巴管瘤. 台灣癌症醫學雜誌, 27(6), 276-280. https://doi.org/10.6323/JoCRP.2011.27.6.6