Altinli E, Pekmezci S, Balkan T, Somay A, Buyukbese M Akif, Tasci H, Akcal T
Cerrahpasa Medical School of Istanbul, University Department of General Surgery, Istanbul, Turkey.
Swiss Surg. 2002;8(1):7-10. doi: 10.1024/1023-9332.8.1.7.
Castleman's disease is a benign lymphoid neoplasm first reported as hyperplasia of mediastinal lymph nodes. Some authors referred to the lesions as isolated tumors, described as a variant of Hodgkin's disease with a possibility of a malignant potential and others proposed that the lymphoid masses were of a hamartomatous nature. Three histologic variants and two clinical types of the disease have been described. The disease may occur in almost any area in which lymph nodes are normally found. The most common locations are thorax (63%), abdomen (11%) and axilla (4%). We report two separate histologic types of Castleman's disease which were rare in the literature, mimicking sigmoid colon tumor and Hodgkin lymphoma. The diagnostic and therapeutic aspects of this rare entity is discussed.
卡斯特尔曼病是一种良性淋巴样肿瘤,最初被报道为纵隔淋巴结增生。一些作者将这些病变称为孤立性肿瘤,描述为霍奇金病的一种变体,具有恶变潜能,而另一些人则认为淋巴样肿块具有错构瘤性质。该病已被描述有三种组织学变体和两种临床类型。该病几乎可发生于正常存在淋巴结的任何部位。最常见的部位是胸部(63%)、腹部(11%)和腋窝(4%)。我们报告了卡斯特尔曼病两种不同的组织学类型,这在文献中较为罕见,分别酷似乙状结肠肿瘤和霍奇金淋巴瘤。本文讨论了这种罕见疾病的诊断和治疗方面。