医学与哲学
醫學與哲學
의학여철학
MEDICINE AND PHILOSOPHY
2014年
16期
76-78
,共3页
王启飞%张志伟%杨德勇%王丽娜%黄涛%郑伟
王啟飛%張誌偉%楊德勇%王麗娜%黃濤%鄭偉
왕계비%장지위%양덕용%왕려나%황도%정위
Castleman病%肾上腺区肿瘤%淋巴结增生
Castleman病%腎上腺區腫瘤%淋巴結增生
Castleman병%신상선구종류%림파결증생
Castleman disease%adrenal area tumor%lymph node hypertrophy
探讨肾上腺区局限性Castleman病的临床特点及诊治方法。回顾性分析4例经术后病理证实的肾上腺区局限性 Castle-man病患者的临床资料,并结合文献复习讨论Castleman病的临床特点及诊治方法。结果4例肾上腺区局限性Castleman病均顺利手术切除,术后随访1个月~22个月,未见肿瘤复发。Castleman病临床上少见,表现为不明原因的淋巴结肿大,临床表现无特异性,最终确诊依靠病理诊断。病变可发生在淋巴组织的任何部位,肾上腺区罕见,手术切除为首选治疗。
探討腎上腺區跼限性Castleman病的臨床特點及診治方法。迴顧性分析4例經術後病理證實的腎上腺區跼限性 Castle-man病患者的臨床資料,併結閤文獻複習討論Castleman病的臨床特點及診治方法。結果4例腎上腺區跼限性Castleman病均順利手術切除,術後隨訪1箇月~22箇月,未見腫瘤複髮。Castleman病臨床上少見,錶現為不明原因的淋巴結腫大,臨床錶現無特異性,最終確診依靠病理診斷。病變可髮生在淋巴組織的任何部位,腎上腺區罕見,手術切除為首選治療。
탐토신상선구국한성Castleman병적림상특점급진치방법。회고성분석4례경술후병리증실적신상선구국한성 Castle-man병환자적림상자료,병결합문헌복습토론Castleman병적림상특점급진치방법。결과4례신상선구국한성Castleman병균순리수술절제,술후수방1개월~22개월,미견종류복발。Castleman병림상상소견,표현위불명원인적림파결종대,림상표현무특이성,최종학진의고병리진단。병변가발생재림파조직적임하부위,신상선구한견,수술절제위수선치료。
To investigate the clinical features ,diagnosis ,and treatment of adrenal area local tumor associated with Castleman disease .Retrospectively analyzed 4 cases adrenal area local tumor associated with Castleman disease which confirmed by the pathological results after surgery ,and undertook a literature review to diagnosis and treatment of the disease .All 4 cases received complete surgical resection of the tumor ,follow-up ranged from 1 month to 22 months ,no recurrence was found .Castleman disease is a rare disease ,which mainly manifests swelling of lymph node with unknown cause ,and has no typical clinical findings . Eventually confirmed diagnosis depends on the pathological examination .The tumor may occur anywhere in lymphoid tissue ,but is rarely seen in adrenal area .Surgical excision of tumor is the preferred therapeutic choice .