经方联合皮外手术治疗外阴巨大获得性淋巴管瘤1例  

Classic Herbal Formulas Combined with Surgery for Large Acquired Lymphangioma of the Vulva:A Case Report

作　　者：陈鸿翔 甄庆育 肖静 朱梓波 康旭 杜志华 林颖 CHEN Hongxiang;ZHEN Qingyu;XIAO Jing;ZHU Zibo;KAGN Xu;DU Zhihua;LIN Ying(The Second Clinical Medical College of Guangzhou University of Chinese Medicine,Guangzhou 510000,China;Department of Dermatology,The Second Affiliated Hospital of Guangzhou University o f Chinese Medicine,Guangzhou 510000,China;Department of Gynecology,The Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510000,China;Department of Pathology,The Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510000,China;Guangdong Provincial Clinical Research Center for Chinese Medicine Dermatology,Guangzhou 510000,China;Guangdong Provincial Key Laboratory of Chinese Medicine for Prevention and Treatment of Refractory Chronic Diseases,Guangzhou 510000,China)

机构地区：[1]广州中医药大学第二临床医学院,广东广州510000 [2]广州中医药大学第二附属医院皮肤科,广东广州510000 [3]广州中医药大学第二附属医院妇科,广东广州510000 [4]广州中医药大学第二附属医院病理科,广东广州510000 [5]广东省中医皮肤临床医学研究中心,广东广州510000 [6]广东省中医药防治难治性慢病重点实验室,广东广州510000

出　　处：《皮肤科学通报》2024年第3期327-330,342,共5页Dermatology Bulletin

基　　金：广东省中医药局中医药科研项目(20241142);广东省中医院中医药科学技术专项(YN2023MS44,YN2023MS23);广东省中医院拔尖人才项目(BJ2022YL08);陈达灿全国名老中医药专家传承工作室建设项目(国中医药人教函〔2022〕75号)。

摘　　要：患者女,53岁,外阴肿物伴渗液7年余。查体见外阴弥漫性红肿、渗液,范围约25 cm×15 cm,双侧大阴唇可见散在或密集分布的粟粒至绿豆大小,肤色和暗红色圆形或椭圆形丘疹、斑丘疹、结节,呈疣状或蛙卵样,个别表面光滑或糜烂,累及双侧大阴唇,触诊呈囊性,压痛(+),渗液。皮损组织病理示:淋巴管增生伴囊性扩张。诊断:外阴获得性淋巴管瘤。通过中医经方五苓散、防己黄芪汤加减内服以调整体质、控制渗液、缩小肿物,后以皮外手术达到临床痊愈,随访未见复发。A 53-year-old female presented with a history of finding vulva mass with exudate for more than 7 years.Physical examination showed diffuse redness,swelling and exudation of the vulva,ranging from 25 cm×15 cm.Scattered or dense papules and nodules were seen,which were millet to mung bean sized,complexional or dark red,round or oval,verrucous or“frog spawn”like.A few of them presented with smooth or ulcerated surface,involving bilateral labia majora.Presenting cystic,tenderness(+)and exudation were seen on palpation.Pathological examination showed lymphatic hyperplasia with cystic dilatation.Lymphangioma was diagnosed.Wulingsan and Fangji Huangqi Decoction were used to adjust the physique,control the exudation and shrink the tumor.After the treatment,the patient was clinically cured by surgery,and no recurrence was found in the follow-up.

关 键 词：获得性淋巴管瘤 经方 手术 

分 类 号：R737.35[医药卫生—肿瘤] R751[医药卫生—临床医学]