Sato Nagato, Kondo Satoshi, Saito Katsunori, Hirano Satoshi, Hara Takashi, Tanaka Eiichi, Ootake Setsuyuki, Shichinohe Toshiaki, Kawarada You, Takeuchi Mikiya, Miyamoto Masaki, Morikawa Toshiaki
Department of Surgical Oncology, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Surg Today. 2006;36(7):647-50. doi: 10.1007/s00595-006-3200-2.
Castleman's disease is an uncommon lymphoproliferative disorder, which occurs most commonly in the mediastinum. Sporadic reports of its occurrence in the hepatoduodenal ligament and other extrathoracic locations have also been documented. Ultimately, Castleman's disease can develop anywhere lymphoid tissue is found, and the preoperative diagnosis is often difficult. We report a case of hyaline vascular-type Castleman's disease in the hepatoduodenal ligament. An asymptomatic 26-year-old woman was admitted to our hospital for further examination of a mass found on ultrasonography. A contrast-enhanced computed tomography scan confirmed a hypervascular mass in the hepatoduodenal ligament, and angiography showed that the mass was receiving its blood supply from various arteries. These findings suggested a diagnosis of Castleman's disease and we removed the tumor without resecting any other organs. Computed tomography and angiography were helpful in establishing a correct preoperative diagnosis, which minimized the magnitude of surgery.
卡斯尔曼病是一种罕见的淋巴增生性疾病，最常发生于纵隔。也有散发病例报告其发生于肝十二指肠韧带及其他胸外部位。最终，卡斯尔曼病可发生于任何有淋巴组织的部位，术前诊断往往困难。我们报告一例发生于肝十二指肠韧带的透明血管型卡斯尔曼病。一名26岁无症状女性因超声检查发现肿块入院进一步检查。增强计算机断层扫描证实肝十二指肠韧带有一高血运肿块，血管造影显示该肿块由多支动脉供血。这些发现提示为卡斯尔曼病，我们在未切除任何其他器官的情况下切除了肿瘤。计算机断层扫描和血管造影有助于做出正确的术前诊断，从而将手术范围降至最小。
