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胰腺Castleman病:磁共振成像表现

Pancreatic Castleman's disease: MR findings.

作者信息

Soler Rafaela, Rodríguez Esther, Bello María José, Alvarez Marta

机构信息

Department of Radiology, Hospital Juan Canalejo, Xubias de Arriba 84, 15006 La Coruña, Spain.

出版信息

Eur Radiol. 2003 Dec;13 Suppl 4:L48-50. doi: 10.1007/s00330-003-1947-z.

Abstract

Castleman's disease can involve a number of organs/tissues but generally affects the mediastinum. Occurrence of Castleman's disease in the pancreas in either form of the disease, the hyaline vascular or the plasma-cell type, is very rare, with only a few case reports in which the imaging findings were described. The MR imaging of pancreatic Castleman's disease has not been previously reported, to our knowledge. We submit the MRI findings in a patient with the plasma-cell-type of Castleman's disease, which presented as an isolated smoothly marginated pancreatic mass, hypointense on T1-weighted fat-suppressed images, isointense on T2-weighted sequences, and that after contrast material injection showed peripheral rim enhancement during the arterial phase.

摘要

卡斯尔曼病可累及多个器官/组织,但通常影响纵隔。卡斯尔曼病以透明血管型或浆细胞型这两种形式出现在胰腺中非常罕见,仅有少数病例报告描述了其影像学表现。据我们所知,此前尚未有胰腺卡斯尔曼病的磁共振成像报告。我们报告了一例浆细胞型卡斯尔曼病患者的磁共振成像表现,该病变表现为胰腺内一个边界光滑的孤立肿块,在T1加权脂肪抑制图像上呈低信号,在T2加权序列上呈等信号,注射对比剂后在动脉期显示周边环形强化。

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