Okada S, Maeta H, Maeba T, Goda F, Mori S
First Department of Surgery, Kagawa Medical University, Japan.
Surg Today. 1999;29(2):178-81. doi: 10.1007/BF02482246.
We describe herein the case of a 21-year-old woman in whom Castleman disease of the pararenal retroperitoneum was successfully resected. The patient was referred to our hospital from another hospital for investigation of a retroperitoneal mass in the right middle abdomen. Ultrasonography, computed tomography, and magnetic resonance imaging demonstrated a large retroperitoneal mass with heterogeneous imaging characteristics. An aortogram showed arterial feeding to this mass from a few lumbar arteries. Although a definitive preoperative diagnosis could not be made, surgical excision was performed and histopathological examination confirmed a diagnosis of the hyaline type of Castleman disease. The patient had an uneventful postoperative course and was discharged 14 days after her operation. She now leads an active social life without any signs of sequelae or recurrence 14 months later. To the best of our knowledge, only 2% (6/315) of all reported cases of Castleman disease have been located in the pararenal and retroperitoneal area.
我们在此描述一例21岁女性患者，其肾旁后腹膜Castleman病成功切除。该患者因右中腹部腹膜后肿块从另一家医院转诊至我院。超声、计算机断层扫描和磁共振成像显示一个具有异质性影像学特征的巨大腹膜后肿块。主动脉造影显示该肿块由几条腰动脉供血。尽管术前未能做出明确诊断，但仍进行了手术切除，组织病理学检查确诊为透明型Castleman病。患者术后恢复顺利，术后14天出院。14个月后，她现在过着积极的社交生活，没有任何后遗症或复发迹象。据我们所知，在所有报道的Castleman病病例中，仅2%（6/315）位于肾旁和腹膜后区域。
