Fiel-Gan M D, Voytek T M, Weiss R G, Brown R T, Joshi V V
Department of Pathology, Hartford Hospital, 80 Seymour Street, Hartford, CT 06102, USA.
Pediatr Dev Pathol. 2000 May-Jun;3(3):286-9. doi: 10.1007/s100249910038.
Castleman's disease (CD) is histologically characterized by a proliferation of polyclonal small lymphocytes and plasma cells. The clinical presentation varies widely, but most commonly manifests as a solitary mediastinal mass, incidentally found on radiographic examination. We present a case of a 10-year-old girl who exhibited a left arm mass which, preoperatively and on frozen section, was diagnosed as a small round cell tumor of childhood (SRCT). This report emphasizes the unusual location of CD in the soft tissue and as a rare entity to be considered in the differential diagnosis of SRCT.
卡斯特曼病(CD)在组织学上的特征是多克隆小淋巴细胞和浆细胞增殖。临床表现差异很大,但最常见的表现是在影像学检查中偶然发现的孤立性纵隔肿块。我们报告一例10岁女孩,其左臂有一肿块,术前及冰冻切片诊断为儿童小圆细胞肿瘤(SRCT)。本报告强调了CD在软组织中的不寻常位置,以及作为SRCT鉴别诊断中需考虑的罕见实体。