How to make a differential diagnosis of marine lymphangioma?

summary

Lymphangioma is a benign tumor, which is mainly composed of lumens arranged by endothelial cells and filled with lymph. Because of the different tissue structure, it can be divided into three types: capillary lymphangioma, sponge lymphangioma and cystic lymphangioma. According to clinical observation, the author found that adult onset is also common, tumor growth is slow, self regression is extremely rare. How to make a differential diagnosis?

How to make a differential diagnosis of marine lymphangioma?

Lymphoma is a malignant tumor caused by the malignant proliferation of lymphocytes and histiocytes in lymph nodes or other lymphoid tissues. It can be divided into Hodgkin's disease and non Hodgkin's disease. Its prognosis is related to the time of discovery. Lymph node biopsy or puncture can make a definite diagnosis,

Examination items: B-type ultrasonic examination, CT examination, magnetic resonance imaging (MRI), upper gastrointestinal X-ray barium meal, upper gastrointestinal endoscopy, which examination should lymphangioma do? 1. The size, scope, nature and relationship with surrounding tissues of tumor can be determined by B-ultrasound 2. X-ray should be used for cervical, supraclavicular and axillary lymphangiomas to understand the relationship between tumor bronchus and mediastinum 3. CT and MRI can be used for the diagnosis of deep and visceral lymphangiomas and their relationship with surrounding tissues 4. Barium meal examination and endoscopy can be used for abdominal and digestive tract lymphoma, The diagnosis of vertebral puncture can be differentiated from hemangioma.

Cystic lymphangioma, also known as hydroma, is a kind of congenital cyst full of lymph, which is not connected with the surrounding normal lymphatic vessels. It mainly comes from the embryonic vagal lymphoid tissue. It mainly occurs in the posterior triangle of the neck, but it can extend to the posterior clavicle, axillary, mediastinum and other parts. Upward, it can extend to the submaxillary, floor of mouth, groin and popliteal fossa. It often grows slowly and is as big as a fist, Because there is no adhesion with the skin, the surface of the tumor has no change, the nature is soft, cystic, lobulated structure, can be transparent, slightly compressible, with needle puncture can extract grass yellow cholesterol crystal liquid, transparent, quickly solidified, similar to the nature of lymph, without swelling and compression, without any clinical symptoms, When the volume is too large, depending on the growth site of cystic lymphoma, it will produce related symptoms. Secondary infection and diffuse swelling can aggravate the compression symptoms.

matters needing attention

It is mainly aimed at the prevention of various factors that may lead to malignant lymphangioma. At present, it is considered that the loss of normal immune surveillance function, the tumorigenic effect of immunosuppressant, the active potential virus and the long-term application of some physical (such as radiation) and chemical (such as antiepileptic drugs and adrenocortical hormone) substances may lead to the proliferation of lymphoid reticular tissue, and eventually lead to malignant lymphangioma. Therefore, pay attention to personal and environmental hygiene, avoid drug abuse, and pay attention to personal protection when working in harmful environment.