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The differential diagnosis is epiglottic cyst or other benign tumors, including thyroglossal duct, dermoid cyst, teratoma, lymphangioma, chondroma, lingual thyroid, or papillomatosis.

会厌血管瘤必须与会厌囊肿或是其他的会厌良性肿瘤做鉴别诊断,包括甲状线舌骨囊肿、皮样囊肿、畸胎瘤、淋巴管瘤、软骨瘤、舌部甲状或是乳突状瘤等。

The five most common benign lesions were dermoid cyst and epidermoid cyst, cavernous hemangioma, lymphangioma, pleomorphic adenoma, orbital inflammation. The five most common malignant lesions were lymphoma, lacrimal adenoid cystic carcinoma, rhabdomyosarcoma, melanoma, sebaceous gland carcinoma.

位于良性病变前5位的分别是皮样囊肿及表皮样囊肿、海绵状血管瘤、淋巴管瘤、泪腺混合瘤、慢性炎症和炎性假瘤;位于恶性肿瘤前5位的分别是淋巴瘤、泪腺囊腺癌、横纹肌肉瘤、黑色素瘤、皮脂腺腺癌。

Results: The most common CT appearance of lymphangioma in cervix was a smoothly marginate cystic mass, while its wall and septurn could be partially enhance; it growed along loose clearances and pressured around structure.

结果:颈部淋巴管瘤的主要CT表现为边缘光整的囊性肿块,内可有分隔,壁与分隔可强化:沿疏松的间隙生长,对周围结构有压迫。

Methods:CT findings of 32 cases with pathologically proved lymphangiomas were collected and retrospectively studied.

回顾性分析32例经病理学证实的淋巴管瘤的CT资料,并与病理结果对照。

Dynamic blood flow changes were seen from CDI in 3 cases with varicosis.

结果 在39例儿童眼眶肿瘤中,毛细血管瘤8例,横纹肌肉瘤2例,瘤体内CDI均可检测出丰富的动脉血流信号;皮样囊肿12例,淋巴管瘤8例,瘤体内CDI检测均无血流信号;静脉性血管瘤6例中,CDI检测出静脉血流信号3例;3例静脉曲张在颈静脉加压和压力解除过程中示动态血流变。

Results Among all 25 cases of lymphangioma,Within 20 cases of cystic lymphangioma,single cyst was showed in 14 cases and multilocular cyst was showed in 6 cases in plain scan,and little enhancement of capsule wall and septal in 8 cases in enhancement scanning. Cystic-solid mass was showed in 4 cases of cavernoma lymphangioma in plain scan,and solid part of mass was enhanced obviously in enhancement scanning.1 capillary ymphangioma showed the skin and hypodermic thicking,and part of area showed little beehive-like feature. Enhancement scanning showed slight irregularity enhancement.

结果 25例淋巴管瘤中20例囊性淋巴管瘤,CT平扫14例表现为单一囊肿,6例表现为多房性囊肿,囊腔内见有分隔;增强扫描8例出现囊壁或间隔的轻微强化。4例海绵状淋巴管瘤平扫均表现为囊实性肿块,增强检查实性部分有明显分期增强;1例毛细管型淋巴管瘤表现为局部皮肤及皮下组织的增厚,部分区域见有小蜂房样表现,增强扫描见有轻度不规则强化。

MSCT can prove more valuable imaging information in the diagnose and treat in patients with lymphangioma.

多层螺旋CT能够为淋巴管瘤的诊疗提供更多有价值的影像信息。

Some authors have created a flow chart or algorithm to determine the appropriate treatment for a lymphocele;9,16 however, most authors assert that open surgery is unnecessary in uncomplicated cases.

一些作者已经建立了系统的指南来确定治疗淋巴管瘤的合适的方法。

Larger accumulations of lymph can cause complications or symptoms through the displacement or compression of surrounding organs (kidney, ureter, bladder, or gastrointestinal tract) or through the loss of protein.9,12,15 Moreover, superinfection of the lymphocele can occur.9

但大的淋巴聚集则可能造成并发症或是造成四周器官的压迫和移位(肾、输尿管、膀胱或胃肠道),也可以由于蛋白的丢失引起淋巴管瘤的重复感染。

Traumatic or surgical injuries to this system can cause leakage of lymph and result in the formation of a lymphocele, which is defined as an accumulation of lymph surrounded by pseudomembranes (layers of tissue with a reaction of the surrounding tissue).10 Lymph drainage above the cisterna chyli is rich in chylomicrons and has a creamy white appearance because of the contribution of the gastrointestinal lymphatics.14 Below the cisterna chyli, however, lymph is serous in nature and has a clear yellow color and a significantly lower triglyceride content.

外伤或手术对这个系统造成损伤可以引起淋巴漏,最终导致淋巴管瘤形成。淋巴管瘤即为有假膜(由于四周组织反应形成的组织层)包裹的淋巴聚集。由于胃肠道淋巴的关系,在乳糜池以上的淋巴管富含乳糜微粒,有奶油样的白色外观。而乳糜池一下的淋巴则为浆液性质,为清亮黄色,其甘油三脂的含量明显降低。

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