非典型胸内Castleman病的影像学特征。

Imaging features of atypical thoracic Castleman disease.

作者信息

Ko Sheung-Fat, Wan Yung-Liang, Ng Shu-Hang, Lin Jui-Wui, Hsieh Ming-Jeng, Fang Fu-Min, Lee Tze-Yu, Chen Wei-Jen

机构信息

Department of Radiology, Chang Gung Memorial Hospital at Kaohsiung, Chang Gung University, 123 Ta-Pei Road, Niao-Sung Hsiang, Kaohsiung Hsien 833, Taiwan.

出版信息

Clin Imaging. 2004 Jul-Aug;28(4):280-5. doi: 10.1016/S0899-7071(03)00202-X.

DOI:10.1016/S0899-7071(03)00202-X

PMID:15246479

Abstract

The imaging features of 16 cases of pathologically proven atypical thoracic Castleman disease (CD) were retrospectively reviewed. Thirteen out of 16 tumors originated from atypical locations, including eight from the pleura and one each from the axilla, supraclavicular fossa, intercostal space, pericardium, and lung. Six out of 16 tumors revealed atypical enhancement, including poor CT enhancement in three tumors, target-like CT enhancement in two tumors, and concentric MR enhancement pattern in one tumor. These atypical enhancement patterns were histopathologically corresponded to various degrees of degeneration, necrosis, and fibrosis.

摘要

回顾性分析16例经病理证实的非典型胸内Castleman病（CD）的影像学特征。16例肿瘤中有13例起源于非典型部位，包括8例起源于胸膜，腋部、锁骨上窝、肋间隙、心包和肺各1例。16例肿瘤中有6例表现为非典型强化，包括3例CT强化不佳，2例呈靶样CT强化，1例呈同心性MR强化模式。这些非典型强化模式在组织病理学上与不同程度的变性、坏死和纤维化相对应。