Lymphangioma
Lymphangioma ແມ່ນຄວາມຜິດປົກກະຕິຂອງລະບົບ lymphatic ທີ່ມີລັກສະນະເປັນບາດແຜທີ່ມີຝາບາງໆ. ຄວາມຜິດປົກກະຕິເຫຼົ່ານີ້ສາມາດເກີດຂຶ້ນໄດ້ໃນທຸກເພດທຸກໄວ ແລະອາດມີສ່ວນໃດສ່ວນໜຶ່ງຂອງຮ່າງກາຍ, ແຕ່ 90% ເກີດຂຶ້ນໃນເດັກທີ່ມີອາຍຸຕ່ຳກວ່າ 2 ປີ ແລະ ກ່ຽວຂ້ອງກັບຫົວ ແລະຄໍ. Lymphangiomas ແມ່ນຖືກວິນິດໄສທົ່ວໄປກ່ອນເກີດໂດຍໃຊ້ ultrasound fetal. lymphangiomas ທີ່ໄດ້ຮັບອາດຈະເປັນຜົນມາຈາກການບາດເຈັບ, ການອັກເສບ, ຫຼືການອຸດຕັນ lymphatic. ເນື່ອງຈາກພວກເຂົາບໍ່ມີໂອກາດທີ່ຈະເປັນໂຣກຮ້າຍ, lymphangiomas ມັກຈະຖືກປິ່ນປົວດ້ວຍເຫດຜົນດ້ານເຄື່ອງສໍາອາງເທົ່ານັ້ນ.
☆ ໃນປີ 2022 Stiftung Warentest ຜົນໄດ້ຮັບຈາກເຢຍລະມັນ, ຄວາມພໍໃຈຂອງຜູ້ບໍລິໂພກກັບ ModelDerm ແມ່ນຕໍ່າກວ່າການປຶກສາຫາລືທາງດ້ານການປິ່ນປົວທາງໂທລະສັບເລັກນ້ອຍເທົ່ານັ້ນ.
References
Lymphangioma ຍັງເປັນທີ່ຮູ້ກັນວ່າ lymphatic malformation (LM) . ມັນແມ່ນຄວາມຜິດປົກກະຕິຂອງເສັ້ນເລືອດຕັ້ງແຕ່ເກີດ. ມັນສະແດງອອກໂດຍການຂະຫຍາຍຕົວຜິດປົກກະຕິຂອງເນື້ອເຍື່ອ lymphatic ກ່ອນແລະຫຼັງເກີດ. Lymphangioma ມີຜົນກະທົບປະມານ 1 ໃນ 2000 ຫາ 4000 ຄົນ, ບໍ່ມີຄວາມແຕກຕ່າງຢ່າງຫຼວງຫຼາຍລະຫວ່າງເພດຫຼືເຊື້ອຊາດ. ກໍລະນີສ່ວນໃຫຍ່ (80-90%) ແມ່ນກວດພົບກ່ອນອາຍຸສອງປີ. ອາການຕ່າງໆແຕກຕ່າງກັນໄປ, ຕັ້ງແຕ່ການໄຄ່ບວມຢູ່ໃນທ້ອງຖິ່ນໄປສູ່ຄວາມຜິດປົກກະຕິຢ່າງກວ້າງຂວາງໃນຊ່ອງທາງ lymphatic, ບາງຄັ້ງກໍ່ເຮັດໃຫ້ເກີດການໄຄ່ບວມຢ່າງຮຸນແຮງທີ່ເອີ້ນວ່າພະຍາດຊ້າງ. ຕົວຢ່າງ, lymphangioma ຢູ່ໃນຄໍແລະໃບຫນ້າສາມາດເຮັດໃຫ້ເກີດການໃຄ່ບວມຂອງໃບຫນ້າ, ແລະໃນກໍລະນີຮ້າຍແຮງ, ການຜິດປົກກະຕິ. ເມື່ອມັນມີຜົນກະທົບຕໍ່ລີ້ນ, ມັນສາມາດນໍາໄປສູ່ການຂະຫຍາຍຄາງກະໄຕແລະແຂ້ວທີ່ບໍ່ຖືກຕ້ອງ. ໃນປາກແລະຄໍ, ມັນສາມາດເຮັດໃຫ້ເກີດບັນຫາການຫາຍໃຈແລະເຫດການສຸກເສີນທີ່ເປັນອັນຕະລາຍເຖິງຊີວິດ. ໃນຕາ, ມັນອາດຈະເຮັດໃຫ້ເກີດການສູນເສຍການເບິ່ງເຫັນ, ການເຄື່ອນໄຫວຂອງຕາທີ່ຈໍາກັດ, ເປືອກຕາຫຼຸດລົງ, ແລະຕາປູນ. ການມີສ່ວນຮ່ວມຂອງແຂນຂາສາມາດເຮັດໃຫ້ເກີດການໃຄ່ບວມແລະການຂະຫຍາຍຕົວຜິດປົກກະຕິຂອງເນື້ອເຍື່ອແລະກະດູກ. ເນື້ອງອກນີ້ມັກຈະເຕີບໂຕຊ້າໆ, ແຕ່ການຕິດເຊື້ອ, ການປ່ຽນແປງຂອງຮໍໂມນ, ຫຼືການບາດເຈັບສາມາດເຮັດໃຫ້ການຂະຫຍາຍຕົວຢ່າງໄວວາ, ມີຄວາມສ່ຽງຕໍ່ຊີວິດທີ່ຕ້ອງການປິ່ນປົວດ່ວນ.
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.
ໃນການສຶກສາຄືນນີ້, ພວກເຮົາໄດ້ທົບທວນຄືນເດັກນ້ອຍ 24 ຄົນທີ່ມີ lymphangioma ແລະໄດ້ຮັບການປິ່ນປົວດ້ວຍການສັກຢາ bleomycin ຕັ້ງແຕ່ເດືອນມັງກອນ 1999 ຫາເດືອນທັນວາ 2004. ສ່ວນຫຼາຍຂອງບາດແຜ (63%) ຫາຍໄປຫມົດ, 21% ໄດ້ຮັບການຕອບສະຫນອງທີ່ດີ, ແລະ 16% ບໍ່ຕອບສະຫນອງດີ. ຄົນເຈັບສອງຄົນມີເນື້ອງອກກັບຄືນມາໃນເວລາຕໍ່ມາ, ແລະອີກ 2 ຄົນໄດ້ເປັນຝີບ່ອນທີ່ພວກເຂົາໄດ້ຮັບການສັກຢາ. ໂຊກດີ, ພວກເຮົາບໍ່ເຫັນບັນຫາໃຫຍ່ ຫຼືຜົນຂ້າງຄຽງໃດໆ.
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.
ປະເພດຕົ້ນຕໍຂອງ lymphangioma ມີດັ່ງນີ້ - lymphangioma circumscriptum, cavernous lymphangioma, cystic hygroma, lymphangioendothelioma. ເຫຼົ່ານີ້ປະກອບເປັນປະມານ 26% ຂອງເນື້ອງອກ vascular benign ໃນເດັກນ້ອຍ, ແຕ່ບໍ່ຄ່ອຍພົບໃນຜູ້ໃຫຍ່. Lymphangioma circumscriptum , ປະເພດທີ່ພົບເລື້ອຍທີ່ສຸດ, ສະແດງໃຫ້ເຫັນທໍ່ lymphatic protrus ໂດຍຜ່ານຜິວຫນັງ, ປະກອບເປັນ vesicles ທີ່ມີນ້ໍາທີ່ຈະແຈ້ງຄ້າຍຄືກັນກັບການວາງໄຂ່ຂອງກົບ, ຄຽງຄູ່ກັບການໃຄ່ບວມຂອງເນື້ອເຍື່ອ. ໂດຍປົກກະຕິມັນປາກົດຢູ່ໃນພື້ນທີ່ທີ່ມີຕາຫນ່າງ lymphatic ອຸດົມສົມບູນເຊັ່ນ: ແຂນຂາ, ລໍາຕົ້ນ, ແລະ armpits. ຜູ້ຍິງອາຍຸ 71 ປີຄົນໜຶ່ງໄດ້ມາທີ່ຄລີນິກຂອງພວກເຮົາດ້ວຍອາການບວມຂາຢ່າງຕໍ່ເນື່ອງ, ມີຕຸ່ມສີບົວຢູ່ບໍລິເວນອະໄວຍະວະເພດ, ມີອາການຄັນ, ແລະນ້ຳ lymph ທີ່ຮົ່ວ. ພວກເຮົາໄດ້ຜ່າຕັດເອົາຕຸ່ມທັງໝົດອອກດ້ວຍຂັ້ນຕອນທີ່ເອີ້ນວ່າ ການຜ່າຕັດໃຫຍ່ສອງຝ່າຍ, ຢຸດຢູ່ທີ່ລະດັບ fascia Colles, ໃນຂະນະທີ່ປົກປັກຮັກສາ clitoris ແລະ 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.
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.
