Lymphangioma
Ko te Lymphangioma he hēenga o te pūnaha lymphatic e tohuhia ana e ngā whiu, he kiri angiangi te pakitara. Ka puta ēnei kino i ngā tau katoa, ka uru pea ki tētahi wāhanga o te tinana, engari 90 % ka puta ki ngā tamariki i raro iho i te 2 tau te pakeke, ka uru ki te mahunga me te kaki. Ko ngā lymphangioma ka kitea i mua i te whanautanga mā te whakamahi i te ultrasound fetal. Ko ngā lymphangioma kua riro mai ka puta i te whara, i te mumura, i te aukati lymphatic rānei. I te mea kāore he tūpono ki te mate kino, ka tukuna ngā lymphangioma mō ngā take whakapaipai anake.
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ReferencesKo te Lymphangioma e mohiotia ana ko te lymphatic malformation (LM). He māte toto mai i te whanautanga. Ko te āhua o te tipu kino o te kiko lymphatic i mua, me muri i te whanautanga. Lymphangioma ka pā ki te 1 i roto i te 2000 ki te 4000 tangata, kāore he rerekētanga nui i waenga i ngā ira tangata me ngā iwi. Ko te nuinga o ngā kēhi (80–90%) ka tohua i mua i te rua o ngā tau. He rerekē ngā tohu, mai i te pupuhi o te rohe ki te nui o ngā rerekē kei roto i ngā awa lymphatic; i ētahi wā ka puta te pupuhi nui e kīia nei ko te elephantiasis. Hei tauira, ka pupuhi te kanohi i te wā e pā ana ki te lymphangioma i te kaki me te kanohi; ā, i ngā kēhi kino, he āhua kino. Ka pā ana ki te arero, ka tupu te tipu o te kauae me ngā nīho hē. I te waha me te kaki, ka raru pea te manawa me ngā māte ohorere. I ngā kanohi, tērā pea ka ngaro te tirohanga, te iti o te nekeneke o te kanohi, te heke o ngā kāmo, me ngā kanohi pupuhi. Ko te whai wāhi o ngā peka, ka puta te pupuhi me te tipu rerekē o ngā kōpa me ngā wheua. Ko te nuinga o te wā ka pūhoi te tipu o tēnei puku, engari ko ngā māte, ko ngā huringa homoni, ko te whara rānei ka tere te tipu; ka puta he māte whakamomori me mate wawe.
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.
I roto i tēnei rangahau whakamuri, i arotake e mātou ngā tamariki 24 kua whiwhi i te lymphangioma, ā, i rongoā ki te werohanga wairewa bleomycin mai i Hānuere 1999 ki Hakihea 2004. Ko te nuinga o ngā whiu (63%) kua ngaro katoa; 21% i pai te whakautu, ā, 16% kāore i pai te whakautu. I rua ngā turoro i hoki mai te puku i muri mai, ā, i mate anō e rua i te puku i reira i werohia ai. Waiho, kāore mātou i kite i ētahi atu raru nui, ā, kāore hoki i pā ki ngā taha.
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.
Ko ngā momo matua o lymphangioma e whai ake nei: lymphangioma circumscriptum, cavernous lymphangioma, cystic hygroma, lymphangioendothelioma. Ko ēnei e pā ana ki te 26 % o ngā pukupuku ngawari i roto i ngā tamariki, engari he iti noa iho i ngā pakeke. Ko te lymphangioma circumscriptum te momo tino auau, e whakaatu ana i ngā ngongo lymphatic e puta mai i te kiri, e hanga ana i ngā wiwi ki te wai e rite ana ki te tipu o te poroka, me te pūpūhi kiko. I te nuinga o te wā ka kitea i runga i ngā wāhi nui o te kupenga lymphatic pērā i ngā peka, katua, me ngā papa. I haere mai tētahi wahine 71‑tau te pakeke ki tō mātou whare haumanu me te pūpūhi tonu o ngā waewae, ngā puku māwhero i runga i ōna ira, te patito, me te rere o te wai rewharewha. I tangohia e mātou ngā puku katoa, ā, ko te tikanga e kīia nei ko bilateral major labiectomy, ka tū ki te taumata fascia o Colles, me te pupuri i te clitoris me te 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.
