关键词: General surgery Surgery

Mesh : Humans Male Retroperitoneal Neoplasms / surgery diagnosis diagnostic imaging pathology Lymphangioma, Cystic / diagnosis surgery diagnostic imaging Diagnosis, Differential Tomography, X-Ray Computed Adult Ultrasonography Laparotomy / methods

来  源:   DOI:10.1136/bcr-2023-258099   PDF(Pubmed)

Abstract:
Abnormal cystic lymphangioma is a rare, benign tumour of lymphatic origin that often presents with subtle clinical symptoms. A man in his 20s sought medical attention for a progressively tender mass located in the right lower quadrant. Following ultrasound and CT imaging, surgical pathology confirmed the presence of abnormal cystic lymphangioma. This case is noteworthy because of the patient\'s young age and the retroperitoneal location. An exploratory laparotomy was performed, mitigating the risk of recurrence. In the future, if imaging identifies a cystic mass, consideration of abnormal cystic lymphangioma within the differential diagnosis is imperative. Despite its predominantly subtle symptoms and non-malignant nature, the mass effect by the abnormal cystic lymphangioma can compromise surrounding structures. Overall, clinicians confronted with a cystic mass should adopt a comprehensive diagnostic approach, encompassing abnormal cystic lymphangioma in the differential diagnosis due to its unknown and complex nature.
摘要:
异常囊性淋巴管瘤是一种罕见的,淋巴起源的良性肿瘤,通常表现为微妙的临床症状。一名20多岁的男子寻求医疗护理,以治疗位于右下象限的逐渐变软的肿块。在超声和CT成像之后,手术病理证实存在异常囊性淋巴管瘤。由于患者年龄小,腹膜后位置,该病例值得注意。进行了剖腹探查术,降低复发风险。在未来,如果成像发现囊性肿块,在鉴别诊断中考虑异常囊性淋巴管瘤势在必行。尽管它主要是微妙的症状和非恶性性质,异常囊性淋巴管瘤的质量效应可损害周围结构。总的来说,面对囊性肿块的临床医生应该采用全面的诊断方法,由于其性质未知和复杂,在鉴别诊断中包括异常囊性淋巴管瘤。
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