Lymphangiosarcoma
Introduction
Introduction to lymphangiosarcoma Lymphangiosarcoma is an extremely rare tumor, almost all of which occurs on the basis of chronic lymphedema, most of which are located in the upper limbs, often associated with long-term chronic lymphedema of the upper extremities secondary to radical mastectomy. A small number can be found in the lower extremities and can occur on the basis of primary or secondary chronic lymphedema. basic knowledge The proportion of sickness: 0.01% - 0.03% Susceptible people: good for the elderly Mode of infection: non-infectious Complications: bacterial pneumonia, viral pneumonia
Cause
Causes of lymphangiosarcoma
Cause:
The vast majority of the upper limbs occur on the basis of chronic lymphedema in the upper extremities after radical mastectomy, and a few can be found in the lower extremities, which can occur on the basis of primary or secondary chronic lymphedema.
Prevention
Lymphatic sarcoma prevention
1. Vitamins A and C have the effect of preventing malignant transformation and proliferation of cells and increasing the stability of epithelial cells. Vitamin C can also prevent the general symptoms of radiation damage, and can increase the level of white blood cells; vitamin E can promote cell division and delay cell aging; vitamin B1 can promote appetite and reduce the symptoms caused by radiation therapy. Therefore, you should eat more foods rich in vitamins, such as fresh vegetables, fruits, sesame oil, cereals, beans and animal offal.
2. Patients with radiotherapy and chemotherapy should generally not eat cold food or cold drink. Because radiotherapy and chemotherapy itself is easy to damage the gas in the spleen and stomach, Chinese medicine believes that cold, especially frozen (food in the refrigerator) is also easy to hurt the stomach, such as clinically Patients with yin deficiency and hot performance (more common in radiotherapy patients) can be given to Chinese herbal medicines such as medlar, Huaishan, Taizishen, Ophiopogon, Schisandra, Radix, and Polygonatum for nursed back to health.
3. Diversify the diet, pay attention to color, fragrance, taste and shape, and promote the appetite of the patients; cooking food should be steamed, boiled, stewed, eat foods that are difficult to digest, and ban alcohol.
4. After surgery, the tumors caused by chewing, swallowing, digestive absorption and lack of special nutrients may be given according to the situation, and the nutrients lacked in different diets and supplements may be given, and if necessary, the compound nutrient elements may be given to enhance the patient's resistance.
Complication
Lymphatic sarcoma complications Complications, bacterial pneumonia, pneumonia
First, pleural cancerous effusion
There is a potential pleural cavity between the visceral and parietal layers. Under normal circumstances, the pleural cavity contains a small amount of lubricating liquid, and its production and absorption are often in dynamic equilibrium. Pleural effusion occurs when there is a pathological cause that causes an increase and/or a decrease in absorption. Pleural effusion is divided into two types: leakage and exudate.
Second, complicated with pulmonary infection
1. Bacterial pneumonia: such as Streptococcus pneumoniae (ie pneumococci), Staphylococcus aureus, Streptococcus hemolyticus, Klebsiella pneumoniae, Haemophilus influenzae, Pseudomonas aeruginosa, Escherichia coli, Pseudomonas aeruginosa.
2. Pneumonia caused by atypical pathogens, such as Legionella, Mycoplasma and Chlamydia.
3. Viral pneumonia, such as coronavirus, adenovirus, influenza virus, cytomegalovirus, herpes simplex virus, etc.
4. Fungal pneumonia, such as Candida albicans, Aspergillus, and radiobacteria.
Symptom
Lymphatic sarcoma symptoms Common symptoms Upper extremity edema papules vesicular granuloma
The disease is more common in elderly patients with upper extremity lymphedema after radical mastectomy, or in patients with long-term chronic edema caused by postoperative penile cancer and filariasis, the degree of edema is intensified, local tenderness, and then most erythema appears in the local skin, and Further developed into a purple-red boundary with clear papules or blisters, the tumor grows rapidly and often spreads along the subcutaneous tissue or deep fascia, which can invade deep muscles.
Examine
Examination of lymphatic sarcoma
1. The surface of the skin seen by the naked eye is purple, forming small reddish nodules. The nodules can fuse with each other to form a large ulcer hemorrhagic mass. The deep lesions of the tumor are traumatic ecchymosis or cellulitis-like appearance.
2. Most of the tumor cells seen under the microscope are fusiform, and a few are irregularly oval or round. They are larger than the general endothelial cells, and can be seen in irregular or mutually matching lumens or fissures, often in lumens or fissures. The emptiness contains a little lymph.
Diagnosis
Diagnosis and diagnosis of lymphangiosarcoma
This tumor is mainly distinguished from malignant hemangioendothelioma, mainly because of the history of chronic lymphedema in patients.
