Wen Li, Zhang Dong, Zhang Zai-Geng
Department of Radiology, XinQiao Hospital, Third Military Medical University, ChongQing 400037, P.R. China.
Clin Imaging. 2005 Mar-Apr;29(2):141-3. doi: 10.1016/j.clinimag.2004.04.030.
Castleman's disease is an uncommon disorder of benign lymph-node hyperplasia. Among all the lesions, less than 10% occurs in the neck. Our case differs from those cases previously reported. Multiple lesions were found on both sides of the neck. Contrast-enhanced CT scan showed dotty and stripy enhancement around these lesions, and rim-like enhancement was also found on delayed scan at 5 min as well. The possibility of Castleman's disease should be considered in multiple cervical masses that show well-defined marked and homogeneous enhancement, especially when stripy enhancement is found around the lesions simultaneously.
卡斯尔曼病是一种罕见的良性淋巴结增生性疾病。在所有病变中,不到10%发生在颈部。我们的病例与先前报道的病例不同。在颈部两侧发现了多个病变。增强CT扫描显示这些病变周围有点状和条状强化,在延迟5分钟扫描时也发现有环状强化。对于表现为边界清晰、明显且均匀强化的多发颈部肿块,尤其是同时在病变周围发现条状强化时,应考虑卡斯尔曼病的可能性。