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颈部Castleman病:1例报告并文献复习

Castleman's disease of the neck: report of a case and review of the literature.

作者信息

Markou K D, Goudakos J K, Psillas G, Antoniadis A, Karasmanis I, Vital V, Nicolaou A

机构信息

Department of Otorhinolaryngology - Head and Neck Surgery, AHEPA University Hospital, Aristotle University of Thessaloniki, Greece.

出版信息

B-ENT. 2009;5(3):189-93.

Abstract

OBJECTIVES

Castleman's disease is an uncommon disease of benign lymph node hyperplasia primarily affecting the mediastinum, with the head and neck region being the second most common site.

CASE REPORT

A 27-year-old woman was admitted to our department due to a left lateral cervical mass. After a complete clinical and imaging examination, a neck dissection was performed, in which a mass, size 3.5 x 2.7 x 4.5 cm, was excised. The patient was diagnosed with Castleman's disease of the neck after histopathological examination.

CONCLUSIONS

The diagnosis of Castleman's disease is always a clinical challenge, as the patient commonly presents with nonspecific signs and symptoms resembling other lymphatic diseases. Consequently, Castleman's disease should be in the differential diagnosis of congenital, inflammatory, or neoplastic cervical alterations. A review of literature, including histopathological characteristics, differential diagnosis, and treatment options is also presented.

摘要

目的

卡斯特曼病是一种罕见的良性淋巴结增生性疾病,主要累及纵隔,头颈部是第二常见部位。

病例报告

一名27岁女性因左侧颈部肿块入院。经过全面的临床和影像学检查后,进行了颈部淋巴结清扫术,切除了一个大小为3.5×2.7×4.5厘米的肿块。经组织病理学检查,该患者被诊断为颈部卡斯特曼病。

结论

卡斯特曼病的诊断始终是一项临床挑战,因为患者通常表现出与其他淋巴疾病相似的非特异性体征和症状。因此,卡斯特曼病应列入先天性、炎症性或肿瘤性颈部病变的鉴别诊断中。本文还对相关文献进行了综述,包括组织病理学特征、鉴别诊断和治疗选择。

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