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单中心Castleman病:一个令人惊讶的颈部肿块。

Unicentric Castleman's disease: a surprising neck mass.

作者信息

O'Donnell J L, Henry F P, Kavanagh E, Brennan P, Kay E, Murphy P, Kelly C J

机构信息

RCSI Dept of Surgery, Beaumont Hospital, Dublin.

出版信息

Ir J Med Sci. 2006 Jan-Mar;175(1):79-80. doi: 10.1007/BF03169010.

Abstract

BACKGROUND

We present the case of a 36-year-old female with a three-week history of a pulsatile, tender mass in the anterior triangle of the neck.

METHODS

Radiology demonstrated that this was a vascular tumour deep to the sternocleidomastoid muscle.

RESULTS

Pre-operative embolisation and complete surgical resection was performed. Histology revealed Castleman's disease.

CONCLUSION

Unicentric hyaline vascular Castleman's disease is an unusual cause of neck mass. Surgical resection remains the best chance for cure in unicentric disease. Long term follow-up is necessary as the risk of subsequent malignancy exists.

摘要

背景

我们报告一例36岁女性病例,其颈部前三角区出现搏动性、压痛性肿块已有三周。

方法

放射学检查显示这是一个位于胸锁乳突肌深部的血管性肿瘤。

结果

进行了术前栓塞和完整的手术切除。组织学检查显示为Castleman病。

结论

单中心透明血管型Castleman病是颈部肿块的不常见病因。手术切除仍然是单中心疾病治愈的最佳机会。由于存在后续恶变风险,需要进行长期随访。

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