十二指肠淋巴管瘤1例并文献复习详解.PDF

临床与病理杂志 2015, 35(8) J Clin Path ol R e s 1591 doi: 10.3978/j.issn.2095-6959.2015.08.031 View this article at: /10.3978/j.issn.2095-6959.2015.08.031 十二指肠淋巴管瘤1例并文献复习 李素娟 ，苏秉忠 ，杜华1 1 2 (内蒙古医科大学附属医院 1. 消化内科；2. 病理科，呼和浩特 010059) [摘　要] 目的：探讨十二指肠淋巴管瘤的临床病理特点、诊断、治疗及预后。 方法：1例上腹不适的患者 除一般的血清学、尿液、腹部CT等检查外，接受胃镜检查并取粘膜行病理活检。 结果：胃镜示 十二指肠降部见不规则乳白色颗粒样隆起，病理示粘膜固有层见大小不一扩张的淋巴管，其腔内 见淋巴液。免疫组化 CD34 阴性，D2-40 阳性。患者定期随访，一年后内镜下形态未见明显改变。 结论：十二指肠淋巴管瘤在成人中可能并不多见。对于上腹部不典型症状，十二指肠降部见隆起 型病变的患者应考虑到淋巴管瘤的可能性。并根据不同临床表现个体化治疗。 [关键词] 十二指肠降部；淋巴管瘤；隆起型病变 A case report of duodenum lymphangioma and literature review 1 1 2 LI Sujuan , SU Bingzhong , DU Hua (1. Department of Gastroenterology; 2. Department of Pathology, Affiliated Hospital of Inner Mongolia University, Huhhot 010059, China) 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. There 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