CAJ | 학술논문

目的：探讨局灶型Castleman’s病（LCD）的CT表现及病理学基础。方法回顾性分析我院经手术病理证实的8例LCD的CT及病理学资料。结果混合型1例，呈均匀软组织密度，透明血管型7例，呈不均匀软组织密度，病灶内含丰富增生的小血管，增强动脉期呈明显高度强化，静脉期及延迟期仍持续中高强化．6例病灶内可见纤维瘢痕，CT 上表现为放射状或分支状低密度影，增强延迟期范围逐渐缩小；2例病灶内可见变性血管壁的钙化影，1例病灶内见多发囊变影，增强无强化。5例病灶周围伴多发肿大淋巴结，病理为慢性反应性淋巴结炎。5例病灶周围见增粗血管影环绕。结论腹部LCD的CT表现具有一定的特征性，肿块内组织成分的多样性及其比例的不同是导致肿块CT 表现多样的重要因素。
목적：탐토국조형Castleman’s병（LCD）적CT표현급병이학기출。방법회고성분석아원경수술병리증실적8례LCD적CT급병이학자료。결과혼합형1례，정균균연조직밀도，투명혈관형7례，정불균균연조직밀도，병조내함봉부증생적소혈관，증강동맥기정명현고도강화，정맥기급연지기잉지속중고강화．6례병조내가견섬유반흔，CT 상표현위방사상혹분지상저밀도영，증강연지기범위축점축소；2례병조내가견변성혈관벽적개화영，1례병조내견다발낭변영，증강무강화。5례병조주위반다발종대림파결，병리위만성반응성림파결염。5례병조주위견증조혈관영배요。결론복부LCD적CT표현구유일정적특정성，종괴내조직성분적다양성급기비례적불동시도치종괴CT 표현다양적중요인소。
Objective To evaluate the CT findings and pathological basis of focal type Castleman's disease (LCD) .Meth‐ods The CT and pathological data of 8 cases of LCD ,which were confirmed by operation and pathology in my hospital , were retrospectively analyzed .Results Of those 8 cases ,1 case was mixed type ,which showed homogeneous soft tissue density and 7 cases were the hyaline vascular type ,which showed inhomogeneous soft tissue density containing abundant small vessel hyperplasia lesions . At the enhanced arterial phase , the lesions were highly enhanced and were highly strengthened continuously at venous and delayed phases .6 cases had fibrous scar ,which was radial or branched low densi‐ty in CT performance and was gradually narrowing the scope in enhanced delay period .Calcification within the lesion of de‐generated vascular wall was seen in 2 cases .And multiple cystic shadows were seen in the lesion in 1 case ,which were not enhanced on contrast‐enhancement .5 cases had multiple enlarged lymph nodes around the lesions ,which were confirmed as chronic reactive lymphadenitis by pathology .5 cases were found the lesions surrounding with the dilated blood vessel shadows .Conclusion CT performance of abdominal LCD has certain characteristics .The diversity of tissue components within the tumorsand different proportion are important factors ,which are attributable to the multiple manifestations of masses on CT .