Minami Hiroyuki, Sano I, Furukawa K, Oikawa M, Nonaka T, Iwasaki K
Department of Surgery, Sasebo City General Hospital, Sasebo, Japan.
Kyobu Geka. 2005 Dec;58(13):1149-52.
We report a case of Castleman disease which originated from the inter-lobar lymph node, with a review of literatures. A 19-year-old woman complaining of cough was pointed out to have an abnormal shadow in the left lung field on chest X-ray. Chest computed tomography (CT) and magnetic resonance imaging (MRI) with enhancement revealed a homogeneous mass lesion at the left inter-lobar portion of the lung. Bronchoscopic findings demonstrated mucosal telangiectasis of the left lower bronchus. We performed the usual axillary thoracotomy and succeeded in extirpation of the tumor without large amount of bleeding. The tumor was elastic and hard, and 70 x 55 x 45 mm in size. Her postoperative course was uneventful and she was discharged on the 12th postoperative day.
我们报告一例起源于肺叶间淋巴结的Castleman病，并对相关文献进行综述。一名19岁女性因咳嗽就诊，胸部X线检查发现左肺野有异常阴影。胸部计算机断层扫描（CT）及增强磁共振成像（MRI）显示左肺叶间部分有一均匀肿块。支气管镜检查发现左下支气管黏膜毛细血管扩张。我们进行了常规腋下开胸手术，成功切除肿瘤且未出现大量出血。肿瘤质地硬且有弹性，大小为70×55×45mm。她术后恢复顺利，术后第12天出院。
