咽后淋巴管瘤1例报告

F. Heidari, Firouzeh Heidari, Amirhossen Yadegar, K. Aghazadeh, E. Karimi
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引用次数: 0

摘要

淋巴管瘤表现为头部和颈部的无痛肿块,质地柔软。淋巴管瘤累及咽后间隙是罕见的。在此,我们报告一个咽后淋巴管瘤的病例,并讨论其表现、影像及治疗。一名11岁女性表现为呼吸急促、喘鸣、发热、吞咽困难和流口水。临床检查发现咽后肿胀和烫手山芋讲话。MRI显示多囊病变从颅底延伸至咽后间隙T4位。在全麻下切除肿物,并注射5ml脱水酒精作为硬化治疗。病理分析为囊性水瘤。术后6个月随访未见复发,症状消失。咽后淋巴管瘤应作为咽后脓肿的鉴别诊断。他们在原发性和急性情况下的治疗是相同的,包括引流、静脉抗生素治疗和气道护理。然而,咽后淋巴管瘤的诊断是重要的,因为它需要进一步的评估和治疗。咽后淋巴管瘤的病例很少被报道,这是一个具有挑战性的病例,涉及的范围很广。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Retropharyngeal Lymphangioma: A Case Report
Lymphangioma is presented as a painless mass with a soft consistency in the head and neck. The involvement of retropharyngeal space in lymphangioma is rare. Here, we presented the case of retropharyngeal lymphangioma and discussed its manifestations, imaging, and treatment. An 11-year-old female was presented with shortness of breath, stridor, fever, dysphagia and drooling. Clinical examinations revealed a retropharyngeal swelling and a hot-potato speech. MRI revealed the multicystic lesions extending from the base of the skull to the level of T4 in retropharyngeal space. The mass resection was done under general anesthesia and 5 ml dehydrated alcohol was injected as sclerotherapy. The pathological analysis yielded cystic hygroma. The six months post-surgery follow up showed no recurrence, and the patient remained symptoms free. Retropharyngeal lymphangioma should be considered as a differential diagnosis of retropharyngeal abscess. Their treatment in primary and acute conditions is the same, including drainage, intravenous antibiotics therapy, and airway care. However, diagnosis of retropharyngeal lymphangioma is important because it needs farther evaluation and treatment. Few cases of retropharyngeal lymphangioma were reported, and this was a challenging case with a wide area of involvement.
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