Lymphangioma
Is éard atá i Lymphangioma anchuma ar an gcóras limfeach arb iad is sainairíonna iad loit ar chistíní le ballaí tanaí iad. Is féidir leis na anchuma seo tarlú ag aois ar bith agus d'fhéadfadh go mbeadh aon chuid den chorp i gceist, ach tarlaíonn 90% i leanaí faoi bhun 2 bhliain d'aois agus baineann siad leis an gceann agus leis an muineál. Déantar Lymphangiomas a dhiagnóisiú go coitianta roimh bhreith ag baint úsáide as ultrasonography féatais. D’fhéadfadh tráma, athlasadh nó bacainn lymphatic a bheith mar thoradh ar lymphangiomas faighte. Ós rud é nach bhfuil seans ar bith go n-éireoidh siad urchóideach, is gnách go gcaitear le lymphangiomas ar chúiseanna cosmaideacha amháin.
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References
Tugtar anchuma limfeach (LM) ar Lymphangioma freisin. Is neamhord soithíoch é atá i láthair ó bhreith. Tá sé tréithrithe ag fás neamhghnácha ar fhíochán limfe roimh agus tar éis breithe. Lymphangioma bíonn tionchar aige ar thart ar 1 i 2000 go 4000 duine, gan aon difríocht shuntasach idir inscne nó cine. Déantar diagnóis i bhformhór na gcásanna (80-90%) roimh dhá bhliain d’aois. Athraíonn na comharthaí go forleathan, ó at logánta go mínormáltachtaí fairsinge sna bealaí limfeacha, rud a fhágann go mbíonn at thromchúiseach ar a dtugtar eilifintiasis uaireanta. Mar shampla, is féidir le lymphangioma sa mhuineál agus aghaidh a bheith ina chúis le swelling aghaidhe, agus i gcásanna tromchúiseacha, míchumadh. Nuair a chuireann sé isteach ar an teanga, is féidir é a bheith mar thoradh ar overgrowth jaw agus fiacla misaligned. Sa bhéal agus sa mhuineál, féadann sé fadhbanna análaithe agus éigeandálaí bagrach don bheatha a chur faoi deara. Sna súile, d'fhéadfadh sé a bheith ina chúis le caillteanas fís, gluaiseacht súl teoranta, eyelids drooping, agus súile bulging. Is féidir le baint ghéag a bheith ina chúis le at agus fás neamhghnácha fíocháin agus cnámha. Fásann an meall seo go mall de ghnáth, ach féadann ionfhabhtuithe, athruithe hormónacha, nó gortú fás tapa a chur faoi deara, rud a chruthaíonn rioscaí atá bagrach don bheatha a dteastaíonn cóireáil phráinneach uathu.
Lymphangioma (lymphatic malformation, LM), a congenital vascular disease, is a low-flow vascular abnormality in lymphatic diseases that is characterized by excessive growth of lymphatic tissue during prenatal and postpartum development. The incidence rate of LM is ~1:2000–4000, with no variation between genders and races. Most patients (80–90%) are diagnosed before the age of two. The clinical manifestations of lymphangioma are quite different among patients, varying from local swelling leading to superficial mass to a large area of diffuse infiltrating lymphatic channel abnormalities resulting in elephantiasis. Cervicofacial LM can cause facial elephantiasis, and in some severe cases, it can lead to serious disfigurement of the face. Tongue LM can lead to mandibular overgrowth and occlusal asymmetry, and oral and cervical LM can cause obstructive acute respiratory distress and life-threatening situations. Orbital LM may lead to decreased vision, decreased extraocular muscle movement, ptosis and exophthalmos. LM of the extremities can trigger swelling or gigantism, accompanied by overgrowth of soft tissue and bones. LM usually grows slowly and steadily, but under certain conditions, such as infection, hormonal changes or trauma, it can grow explosively and become a life-threatening disease requiring immediate treatment.
Lymphangioma (lymphatic malformation, LM), a congenital vascular disease, is a low-flow vascular abnormality in lymphatic diseases that is characterized by excessive growth of lymphatic tissue during prenatal and postpartum development. The incidence rate of LM is ~1:2000–4000, with no variation between genders and races. Most patients (80–90%) are diagnosed before the age of two. The clinical manifestations of lymphangioma are quite different among patients, varying from local swelling leading to superficial mass to a large area of diffuse infiltrating lymphatic channel abnormalities resulting in elephantiasis. Cervicofacial LM can cause facial elephantiasis, and in some severe cases, it can lead to serious disfigurement of the face. Tongue LM can lead to mandibular overgrowth and occlusal asymmetry, and oral and cervical LM can cause obstructive acute respiratory distress and life-threatening situations. Orbital LM may lead to decreased vision, decreased extraocular muscle movement, ptosis and exophthalmos. LM of the extremities can trigger swelling or gigantism, accompanied by overgrowth of soft tissue and bones. LM usually grows slowly and steadily, but under certain conditions, such as infection, hormonal changes or trauma, it can grow explosively and become a life-threatening disease requiring immediate treatment.
Sa staidéar siarghabhálach seo, rinneamar athbhreithniú ar 24 leanbh a raibh lymphangioma acu agus a fuair cóireáil le instealltaí de thuaslagán bleomycin ó Eanáir 1999 go Nollaig 2004. D'imigh an chuid is mó de na loit (63%) go hiomlán, fuair 21% freagra maith, agus 16% níor fhreagair go maith. Tháinig beirt othar ar an meall ar ais níos déanaí, agus fuair beirt eile abscesses nuair a fuair siad na instealltaí. Ar ámharaí an tsaoil, ní fhacamar aon fhadhbanna móra ná fo-iarmhairtí eile.
This is a retrospective study of 24 children diagnosed with lymphangioma and treated with intralesional injection of bleomycin aqueous solution from January 1999 to December 2004. Complete resolution was seen in 63% (15/24) of lesions, 21% (5/24) had good response and 16% (4/24) had poor response. The tumour recurred in 2 patients. Two other patients had abscess formation at the site of injection. No other serious complications or side effects were observed.
This is a retrospective study of 24 children diagnosed with lymphangioma and treated with intralesional injection of bleomycin aqueous solution from January 1999 to December 2004. Complete resolution was seen in 63% (15/24) of lesions, 21% (5/24) had good response and 16% (4/24) had poor response. The tumour recurred in 2 patients. Two other patients had abscess formation at the site of injection. No other serious complications or side effects were observed.
Seo a leanas na príomhchineálacha lymphangioma - lymphangioma circumscriptum, cavernous lymphangioma, cystic hygroma, lymphangioendothelioma. Is ionann iad seo agus thart ar 26% de shiadaí neamhurchóideacha soithíoch i leanaí ach níl siad chomh coitianta i measc daoine fásta. Léiríonn lymphangioma circumscriptum , an cineál is minice, duchtanna limfeacha ag sileadh tríd an gcraiceann, ag cruthú vesicles soiléir líonta sreabhán cosúil le sceith an frog, chomh maith le fíocháin at. De ghnáth bíonn sé le feiceáil ar limistéir le gréasán limfeach saibhir cosúil leis na géaga, an stoc agus an t-armpit. Tháinig bean 71 bliain d'aois go dtí ár gclinic agus at leanúnach ar a cos, bumps bándearg ar a baill ghiniúna, tochas agus sreabhán limfe ag sceitheadh. Bhaineamar na cnapáin go léir go máinliachta le nós imeachta ar a dtugtar mórlabiectomy déthaobhach, ag stopadh ag leibhéal éadain Colles, agus an clitoris agus an ceathairéad á gcaomhnú againn.
The predominant types of lymphangioma are lymphangioma circumscriptum (LC), cavernous lymphangioma, cystic hygroma, and lymphangioendothelioma. These entities account for approximately 26% of benign vascular tumors in children but are rarer in adults. LC is the most common form of cutaneous lymphangioma and is characterized by superficial lymphatic ducts protruding through the epidermis. This condition results in clusters of clear fluid-filled vesicles resembling frog spawn and associated tissue edema. It is usually found on the proximal extremity, trunk, and axilla, which has an abundant lymphatic system. A 71-year-old female presented to our outpatient clinic with persistent edema of both lower limbs, clusters of pink labial papules, pruritus, and watery lymph oozing. We removed all the papules by performing bilateral major labiectomy down to the level of Colles' fascia, sparing the clitoris and fourchette.
The predominant types of lymphangioma are lymphangioma circumscriptum (LC), cavernous lymphangioma, cystic hygroma, and lymphangioendothelioma. These entities account for approximately 26% of benign vascular tumors in children but are rarer in adults. LC is the most common form of cutaneous lymphangioma and is characterized by superficial lymphatic ducts protruding through the epidermis. This condition results in clusters of clear fluid-filled vesicles resembling frog spawn and associated tissue edema. It is usually found on the proximal extremity, trunk, and axilla, which has an abundant lymphatic system. A 71-year-old female presented to our outpatient clinic with persistent edema of both lower limbs, clusters of pink labial papules, pruritus, and watery lymph oozing. We removed all the papules by performing bilateral major labiectomy down to the level of Colles' fascia, sparing the clitoris and fourchette.
