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十二指肠淋巴管瘤1例并文献复习

李素娟 苏秉忠 杜华

临床与病理杂志Issue(8):1591-1594,4.
临床与病理杂志Issue(8):1591-1594,4.DOI:10.3978/j.issn.2095-6959.2015.08.031

十二指肠淋巴管瘤1例并文献复习

A case report of duodenum lymphangioma and literature review

李素娟 1苏秉忠 1杜华2

作者信息

  • 1. 内蒙古医科大学附属医院 消化内科,呼和浩特 010059
  • 2. 内蒙古医科大学附属医院 病理科,呼和浩特 010059
  • 折叠

摘要

Abstract

Objective: To investigate the clinicopathologic characteristics, diagnosis, treatment and prognosis of lymphangioma of duodenum.Methods: One case of lymphangioma at descending duodenum in adult was analyzed by means of gastroscopy and immunohistochemical examination with review of the 1iterature. Results:A 68-year-old female, presenting with abdominal discomfort, was diagnosed as duodenum lymphangioma. hTere was an irregular milky granular polypoid lesions in descending duodenum by gastroscopy. The pathological diagnosis was irregularly expanded lymphatics within intestinal muscular layer, of which the lumens contained lymph. Immunohistochemically, vascular epithelia were positive for D2-40, negative for CD34. Regular follow-up of patient, and endoscopic morphology did not change significantly after one year. Conclusion: Lymphangioma in descending duodenum is rare in adults. For patients with atypical symptoms of the upper abdomen, duodenal descending lesions should be considered the possibility of lymphangioma, and should be given individual treatment according to different clinical manifestations.

关键词

十二指肠降部/淋巴管瘤/隆起型病变

Key words

descending duodenum/lymphangioma/polypoid lesions

引用本文复制引用

李素娟,苏秉忠,杜华..十二指肠淋巴管瘤1例并文献复习[J].临床与病理杂志,2015,(8):1591-1594,4.

临床与病理杂志

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