介肠血淋巴瘤:一个病例报告和文献综述
Dongxue Geng1, Jingjing Tao2, Yi Miao3
1Department of Hepatobiliary Surgery, The Affiliated Hospital of Jiangsu University, Zhenjiang, Jiangsu, China.
The American journal of case reports
|January 22, 2026
概括
介肠性血液淋巴瘤是一种罕见的疾病. 完整的手术切除是治疗和预防儿科患者复发的关键,诊断通过组织病理学得到确认.
科学领域:
- 儿科手术 儿科手术
- 血管形症 血管形症
- 胃肠道瘤学 胃肠道瘤学
背景情况:
- 介肠血淋巴瘤是一种非常罕见的良性血管形.
- 介质根的病变特别罕见,这给诊断带来了挑战.
- 由于非特定的临床和放射学发现,术前诊断很困难.
研究的目的:
- 为了呈现第一个儿科病例的介质根血液淋巴瘤.
- 审查有关临床特征和管理的现有文献.
- 强调这种罕见的实体的诊断和治疗策略.
主要方法:
- 一个15岁男孩的病例报告,他患有反复出现的腹痛.
- 术前计算机断层扫描 (CT) 成像.
- 术内发现和彻底的手术切除.
- 组织病理学检查与免疫组织化学染色 (D2-40,CD31,CD34).
主要成果:
- 在十二指肠和胰腺头附近发现了一个大,螺旋状的前质.
- 瘤位于介质根部,导致淋巴扩张和质泄漏.
- 完整的外科切除是成功的,在随访CT时没有发现复发.
- 组织病理学证实了血液淋巴管瘤,具有积极的免疫组织化学标志物.
结论:
- 这是第一个报告的小儿血淋巴细胞瘤在介质根的病例.
- 完整的外科切除是预防复发的主要治疗方法.
- 由于非特定的临床和成像特征,诊断依赖于组织病理学和免疫组织化学.
- 强调在儿科差异诊断中考虑介质血淋巴瘤的重要性.
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