中华皮肤科杂志 ›› 2019, Vol. 52 ›› Issue (5): 330-331.doi: 10.3760/cma.j.issn.0412-4030.2019.05.008

• 临床经验 • 上一篇    下一篇

光动力疗法治疗阴囊淋巴管瘤一例

谢芸    陈明亮    赵爽    刘迪辉    李芳芳   

  1. 中南大学湘雅医院皮肤科，长沙  410008
  • 收稿日期:2018-12-13 修回日期:2019-01-31 出版日期:2019-05-15 发布日期:2019-04-30
  • 通讯作者: 李芳芳 E-mail:278645527@qq.com
  • 作者简介:作者急用，5月前

Photodynamic therapy for scrotal lymphangioma: a case report

Xie Yun, Chen Mingliang, Zhao Shuang, Liu Dihui, Li Fangfang    

  1. Department of Dermatology, Xiangya Hospital, Central South University, Changsha 410008, China
  • Received:2018-12-13 Revised:2019-01-31 Online:2019-05-15 Published:2019-04-30
  • Contact: Li Fangfang E-mail:278645527@qq.com

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摘要： 【摘要】 患者男，23岁，5年前出现阴囊小水疱，逐渐布满整个阴囊，摩擦易破溃。体检：阴囊弥漫粟米大小水疱，疱液呈乳白色，并可见乳糜状渗液。皮损组织病理：真皮内可见大小不一的淋巴管增生扩张。免疫组化：D2?40、CD31阳性。诊断：阴囊淋巴管瘤。采用氨基酮戊酸光动力疗法治疗，治疗后水疱减少，无明显渗液，随访1年无瘢痕等并发症，无明显复发。

关键词: 淋巴管瘤, 阴囊, 光化学疗法, 氨基酮戊酸

Abstract: 【Abstract】 A 23-year-old male patient developed vesicles on the scrotum 5 years prior to this presentation. Then, vesicles gradually affected the whole scrotum, whick easily ruptured due to friction. Physical examination showed diffuse millet-sized vesicles on the scrotum with milky white fluids, and exudates with chyle-like appearance. Histopathological examination revealed proliferating and dilated lymphatic vessels with different sizes of lumens in the dermis. Immunohistochemical study showed positive staining for D2-40 and CD31. The patient was diagnosed with scrotal lymphangioma, and received photodynamic therapy with aminolevulinic acid. After the treatment, the number of vesicles markedly decreased, and no obvious exudates were observed. During 1 year of follow up, no scars or other complications occurred, and no obvious relapse was found.

Key words: Lymphangioma, Scrotum, Photochemotherapy, Aminolevulinic acid