良性对称性脂肪瘤病4例  

Benign symmetric lipomatosis(a 4 case report)

作　　者：吴文源[1] 陈翊民[1] 林荣志[1] 洪育明[1] 邱连升[1] 黄方[1] 

机构地区：[1]福建医科大学第二临床学院耳鼻咽喉科,福建泉州362000

出　　处：《山东大学耳鼻喉眼学报》2012年第1期66-67,共2页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的探讨良性对称性脂肪瘤病(BSL)的诊断和治疗。方法采取手术切除的方法治疗,回顾性分析4例BSL患者的病历资料及诊治过程,结合文献复习讨论BSL诊治特点。结果术后病理诊断均为无包膜脂肪组织。所有病例术后外形恢复满意,无1例出现并发症。结论 BSL是一种脂肪代谢障碍引起的脂肪组织弥漫性、对称性沉积于颈项部等皮下浅筋膜间隙和(或)深筋膜间隙的良性疾病。以中老年男性居多,与酗酒有关,可伴有高尿酸血症、高胆固醇血症等代谢性疾病,CT检查有助于本病的诊断。对于影响美观及功能的患者手术疗效理想。Objective To investigate the diagnosis and treatment of benign symmetric lipomatosis（BSL）.Method All 4 patients were treated by surgery.A retrospective analysis was done on each case.The literature of the diagnostic procedure and diagnostic/therapeutic characteristics of BSL was reviewed.Result The postoperative pathology in all patients revealed that no coated adipose tissue was found.All the patients recovered well with satisfactory appearance and without any complications.Conclusion BSL is a benign disease caused by fat metabolism disorder,characterized by symmetrical adipose tissue deposition in the neck and subcutaneous shallow fascia clearance and/or the deep fascia.It usually occurs in middle-aged males.Alcoholism,hyperuricemia,hypercholesterolemia and other metabolic diseases was risk factors for BSL.CT scanning is useful in the diagnosis of BSL.The patients can recover well with satisfactory appearance and function after the surgical excision.

关 键 词：良性对称性脂肪瘤病 诊断 治疗 

分 类 号：R739.5[医药卫生—肿瘤]