Kang Nakheon, Chung Jin-Wook, Jung Sung-No
Department of Plastic Surgery, College of Medicine, Chungnam National University, Daejeon, Korea.
J Craniofac Surg. 2009 May;20(3):830-2. doi: 10.1097/SCS.0b013e3181a14c19.
Castleman disease is a lymphocytic hyperplastic disease that is also known as angiofollicular lymphoid hyperplasia or giant lymph node hyperplasia. It occurs mainly in the mediastinum but rarely in the face. Our experience is a case of a 65-year-old man who had a slow-growing, nontender temporal mass for 1 year. Computed tomographic scans showed a 6.0 x 2.5 x 4.5-cm, homogenous and moderately enhanced soft tissue mass in the left temporal region. The mass was excised with caution to avoid injuries to the superficial temporal artery and facial nerve. Frozen section showed lymphoid hyperplasia lesion without malignancy. To the best of our knowledge, this is the first case of Castleman disease that presented in the temporal region; thus, for the first time, we report this case along with the review of the literature.
卡斯特曼病是一种淋巴细胞增生性疾病,也被称为血管滤泡性淋巴组织增生或巨大淋巴结增生。它主要发生在纵隔,但很少出现在面部。我们的经验是一名65岁男性病例,其颞部有一个缓慢生长、无压痛的肿块,持续1年。计算机断层扫描显示左侧颞部区域有一个6.0×2.5×4.5厘米的均匀且中度强化的软组织肿块。小心切除该肿块以避免损伤颞浅动脉和面神经。冰冻切片显示为淋巴组织增生性病变,无恶性肿瘤。据我们所知,这是第一例出现在颞部区域的卡斯特曼病病例;因此,我们首次报告该病例并对文献进行综述。