Department of Surgery, Islamic Hospital, Amman, Jordan.
Asian J Surg. 2010 Jul;33(3):150-3. doi: 10.1016/S1015-9584(10)60025-5.
A 41-year-old man was discovered to have a pelvic mass during investigation for hypertension 2 years ago. Otherwise, he was asymptomatic, and abdominal magnetic resonance imaging revealed a highly vascular solid mass superior to the urinary bladder. A 131I-meta-iodobenzylguanidine whole body scan was reported as normal, which ruled out the possibility of extra-adrenal pheochromocytoma. No definitive preoperative diagnosis could be established. Surgical resection of the tumour revealed mesenteric Castleman's disease, hyaline vascular type. Such a diagnosis should be considered for any abdominal vascular mass.
一名 41 岁男性在两年前因高血压检查时发现盆腔肿块。除此之外，他无症状，腹部磁共振成像显示膀胱上方有一个高度血管化的实性肿块。131I-间碘苄胍全身扫描报告正常，排除了肾上腺外嗜铬细胞瘤的可能性。术前无法明确诊断。肿瘤切除后显示肠系膜 Castleman 病，透明血管型。任何腹部血管肿块都应考虑这种诊断。
