Kaneko Hiroto, Ohkawara Tohru, Aragane Hideki, Ohkawara Yasuo, Taniwaki Masafumi
Department of Hematology, Aiseikai Yamashina Hospital, Yamashina-ku, Kyoto, Japan.
Int Surg. 2007 Sep-Oct;92(5):272-5.
We report a case with rare solitary mesenteric Castleman's disease (CD). A 45-year-old woman complaining of nausea was presented. A round-shaped, smooth margin, and hypoechoic mass was seen on screening abdominal ultrasonography. Computed tomography showed a markedly enhanced tumor anterior to the left iliopsoas muscle. Selective jejunal arteriography revealed an extreme hypervascularity without vascular invasion. These results retrospectively seem to differ from those of malignant lymphoma or sarcoma. The tumor was surgically resected, and hyaline-vascular type CD was pathologically diagnosed. We postulate that these radiological findings might suggest hyaline-vascular type CD as one of the differential diagnoses in similar cases, although more clinical data should be evaluated.
我们报告一例罕见的孤立性肠系膜卡斯尔曼病（CD）。患者为一名45岁女性，主诉恶心。腹部超声筛查发现一个圆形、边缘光滑的低回声肿块。计算机断层扫描显示左髂腰肌前方有一个明显强化的肿瘤。选择性空肠动脉造影显示血管极度丰富，无血管侵犯。回顾性分析，这些结果似乎与恶性淋巴瘤或肉瘤不同。肿瘤经手术切除，病理诊断为透明血管型CD。我们推测，这些影像学表现可能提示透明血管型CD是类似病例的鉴别诊断之一，尽管还需要评估更多的临床数据。
