CLINICAL EVOLUTION OF LYMPHANGIOMA CIRCUMSCRIPTUM:OBSERVATIONS ON THREE CASES. LIMFANGIOMUL CIRCUMSCRIS, OBSERVAŢII CLINICO-EVOLUTIVE PRIVIND TREI CAZURI

Virgil Patrascu, Alexandra Georgiana Bocirnea, Raluca Ciurea

Abstract


Introduction : Lymphangiomas are rare congenital dysplasia of lymphatic vessels, which may affect the tegument, mucous membranes and viscera. They are superfficial cavernous or cystic. In 80-90% of cases they are diagnosed prior to the age of 2 years.

Patients and Methods: We present 3 patients with lymphangioma circumscriptum, aimed to highlight aspects of this tumor clinical course, based on clinical examination, laboratory investigations, histopathological examination and Doppler ultrasound. Patients were investigated for diagnosis and comorbidities. The treatment was surgical (excision and electrocautery of tumors) for the first two cases and by medication in the third case.

Results: Our patients had no associated comorbidities. Correct diagnosis was established based on histopathological examination and the treatment has conducted good results. We obtained healing by surgically treating cases I and II and correction by medical treatment bleeding complications in case III. However regular follow up is necessary in these patients.

Conclusion: Lymphangioma circumscriptum is a benign condition, but difficult to treat and recurrent due to the deep hypodermic component 

Key words : lymphangioma circumscriptum, clinical, treatment.

Introducere : Limfangioamele sunt displazii congenitale rare ale vaselor limfatice, care pot interesa tegumentul, mucoasele şi viscerele. Ele sunt superficiale, cavernoase sau chistice.

În 80-90% din cazuri sunt diagnosticate înainte de vârsta de 2 ani. Pacienţi şi metodă: Prezentăm 3 bolnavi cu limfangiom circumscris având ca obiectiv evidenţierea aspectelor clinico-evolutive ale acestei tumori, pe baza examenului clinic, investigaţiilor paraclin- ice, a examenului histopatologic şi ecogra ei Doppler. Bolnavii au fost exploraţi şi pentru diagnosticarea comorbidităţilor. Tratamen- tul a fost chirurgical (excizia şi electrocauterizarea formaţiunilor) la cazurile I şi II şi medicamentos la cazul III.

Rezultate: Pacienţii noştri nu au avut comorbidităţi asociate. Diag- nosticul de certitudine a fost stabilit pe baza examenului histopa- tologic, iar tratamentul efectuat a condus la rezultate bune.
Am obţinut vindecarea cazurilor I şi II tratate chirurgical şi corectarea prin tratament medicamentos a complicaţiei hemoragice la cazul III. Cu toate acestea urmărirea periodică este necesară în ca- zul acestor pacienţi.

Concluzie: Limfangiomul circumscris este o afecţiune benignă, însă dificil de tratat şi recidivantă datorită componentei profunde hipodermice.

Cuvinte cheie : Limfangiom circumscris, aspecte clinice, tratament. 


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