CAJ | 학술논문

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。
목적：탐토장계막림파관류적림상표현、영상학특점급병이학특정。방법수집14례장계막림파관류환자적림상자료,회고성분석기림상병리특정급영상학표현。결과14례장계막림파관류림상증상다양화,이복부창통불괄다견。술전영상학검사：2례CT시림파관류,5례부제시낭성점위,2례진단위기타종류,3례장경조혹장뉴전혹장투첩,2례미견명현병변。병변주체다위우장계막병루급장벽,경하정다방낭강,내츤단층편평세포,관강내가견림파액급림파세포。면역조화표기류세포균표체D2-40。결론장계막림파관류속량성종류,응경척병발증,술전영상학검사가제시진단,명학진단의뢰병이학검사。
Purpose To investigate the clinical manifestations, imaging characteristics and pathological features of mesenteric lym-phangioma. Methods The clinical pathological and imaging features of 14 cases diagnosed mesenteric lymphangioma were retrospec-tively 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 examina-tion. These tumors usually located in the mesentery and some involved intestinal wall. Microscopically, the tumors were consisted of ir-regular cavities, lined with simple flat endothelial cells, filled with lymph fluid and lymphocytes. All cases showed strong D2-40 immu-noreactivity. Conclusion Mesenteric lymphangioma is a benign tumor with serious complications, and preoperative CT imaging stud-ies may prompt the diagnosis. Resection completely is the preferred treatment.