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首頁> 外文期刊>Journal of Cutaneous and Aesthetic Surgery >The Curious Case of Fibrofatty Conversion of Cystic Hygroma Treated with Bleomycin Sclerotherapy
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The Curious Case of Fibrofatty Conversion of Cystic Hygroma Treated with Bleomycin Sclerotherapy

機譯：用博萊霉素硬化治療治療囊性酸度纖維化轉化的奇怪情況

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摘要

Cystic hygroma is a congenital malformation of the lymphatic system that mostly presents at birth. Though the classic treatment of this condition is surgical excision, recent alternative treatment modalities such as injection of sclerotherapeutic agents (e.g., bleomycin and OK-432) into the lesion has gained popularity due to its safe and effective response profile with minimal side effects. We report a rare complication of repeated bleomycin sclerotherapy in a follow-up patient of cystic hygroma, where the lesion underwent fibrolipomatous conversion with insinuation into multiple fascial planes, causing mass effect by encasement and compression of major vascular and airway structures. This is the first time such a complication of bleomycin sclerotherapy has been reported in literature. Such an unusual presentation reminds us that, in any patient presenting with recurrent gradually increasing swelling with worsening of symptoms following bleomycin sclerotherapy, a possibility of fibrolipomatous conversion of cystic hygroma should be borne in mind.
機譯：囊性酸度是淋巴系統(tǒng)的先天性畸形，主要是出生時呈現(xiàn)。雖然這種情況的經典治療是手術切除，但最近的替代治療方式，例如注射硬化劑（例如，Bleomycin和OK-432），因為其安全有效的響應曲線具有最小的副作用，因此受到普及。我們在囊性酸度的后續(xù)患者中報告了重復的博來霉素硬化治療的罕見并發(fā)癥，其中病變接受了纖維醇轉化的纖維素轉化，以暗示多個漂亮的平面，通過包裝和壓縮主要血管和氣道結構來引起質量效應。這是第一次在文獻中報道了這種博萊霉素硬化療法的并發(fā)癥。這種不尋常的陳述提醒我們，在任何患者逐漸增加腫脹的患者中逐漸增加腫脹癥狀后患有Bleomycin硬化治療后的癥狀，都應考慮到囊性酸性酸纖維癥轉化的可能性。

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