[原著］リンパ管腫12例の検討

概要

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During the past 9 years (April, 1974 to May, 1983), twelve patients with cystic lymphangiomas were treated in our department. There were 4 males and 8 females. The age at the time of treatment ranged from one week to 33 years. Nine of the 12 patients were under the age of 15 years. In 50 per cent of the patients the tumors were noticed at birth. The site of involvement was the neck in 8 patients, the shoulder in 2, the axilla and the forearm in one case each. One of the neck lymphangiomas involved the floor of the mouth and the tongue presenting respiratory distress. Multiple site involvement (the neck, axilla and shoulder) was seen in one patient. Nine of the 12 patients underwent surgical excision ; complete excision was achieved in 6 patients. The remaining 3 patients had incomplete excision. One of the latter 3 patients had recurrent tumor which was re-excised with subsequent good result. Three of the 12 patients were treated with local injection of Bleomycin (BLM) as a primary therapy, pursuing favorable result. Based upon our experience, the choice of treatment is surgical excision. However, in certain situations (technical difficulties, the risk of cosmetic disfigurement) local injection of BLM should be indicated.
琉球大学医学部の論文
1984-00-00