CAJ | 학술논문

目的总结颈部Castleman病的临床特征与诊治体会.方法回顾性分析2000年5月至2008年10月期间8例以颈部淋巴结肿大为首发症状的Castleman病患者临床资料.肿物位于颈部Ⅰ区1例,Ⅱ区3例,Ⅲ区3例,Ⅳ区1例.8例病例均行常规CT检查表现为类圆形软组织肿块影,其中4例增强扫描后周围可见环性增强区.8例血常规检查大致正常,其中6例患者轻度贫血.结果本组病例均为局灶型Castleman病,手术完整切除肿大淋巴结,肿大淋巴结呈椭圆形,大小约(2 cm×2 cm×3 cm)～(4 cm×3 cm×2 cm),界限清楚,与周围组织无明显粘连.病理类型为透明血管型.术后随访7～30个月未见复发.结论局灶型Castleman病表现为单一部位的淋巴结肿大,CT等影像榆查可以提示诊断,手术切除疗效好.
목적 총결경부Castleman병적림상특정여진치체회.방법 회고성분석2000년5월지2008년10월기간8례이경부림파결종대위수발증상적Castleman병환자림상자료.종물위우경부Ⅰ구1례,Ⅱ구3례,Ⅲ구3례,Ⅳ구1례.8례병례균행상규CT검사표현위류원형연조직종괴영,기중4례증강소묘후주위가견배성증강구.8례혈상규검사대치정상,기중6례환자경도빈혈.결과 본조병례균위국조형Castleman병,수술완정절제종대림파결,종대림파결정타원형,대소약(2 cm×2 cm×3 cm)～(4 cm×3 cm×2 cm),계한청초,여주위조직무명현점련.병리류형위투명혈관형.술후수방7～30개월미견복발.결론 국조형Castleman병표현위단일부위적림파결종대,CT등영상유사가이제시진단,수술절제료효호.
Objective To investigate the clinical and pathological features, diagnosis and treatment of Castleman disease (CD).Methods Clinical features and related information on diagnosis and treatment of eight cases of CD were retrospectively analyzed.The size of involved lymph nodes ranged from (2 cm×2 cm×3 cm)-(4 cm×3 cm×2 cm).The lymph nodes were found in level Ⅰ (1 case), level Ⅱ (3cases) ,level Ⅲ (3 cases) and level Ⅳ (1 case).CT examination in eight patients showed the lesions manifested as ellipse soft masses.Dynamic contrast CT scan in four patients showed ring-enhanced area around the masses.Blood routine examination in eight patients were generally normal, with six patients had mild anemia.Results Based on the clinical classification, all lesions in this group were localized CD.Histopathology indicated that all lesions were of hyaline-vascular type. After surgery, there was no recurrence during the follow-up period. ConclusionsPatients with localized CD mainly have lymphadenectasis in a single location.The CT scan can give some evidence.Surgery should be given first priority.