儿童颈部单中心Castleman病
Cervical unicentric Castleman's disease in children.
作者信息
Bouguila J, Lahmer I, Abdelkefi M, Affissath A, Trimeche M, Boughammoura L
机构信息
Service de pédiatrie, CHU Farhat Hached, avenue Ibn El Jazzar, 4000 Sousse, Tunisia.
Service de pédiatrie, CHU Farhat Hached, avenue Ibn El Jazzar, 4000 Sousse, Tunisia.
出版信息
Eur Ann Otorhinolaryngol Head Neck Dis. 2013 Sep;130(4):221-3. doi: 10.1016/j.anorl.2012.09.008. Epub 2013 Mar 6.
INTRODUCTION
Unicentric Castleman's disease (CD) is a rare benign lymphoproliferative disorder. A cervical location has rarely been reported in the pediatric literature.
CASE REPORT
A 13-year-old boy presented with a mass in the right neck region of 3 months' evolution. Clinical examination revealed a smooth mobile 5 cm node deep in the sternocleidomastoid muscle. The diagnosis of hyaline vascular type CD was confirmed by complete surgical excision and histopathologic examination. Postoperative course was simple, without recurrence over 1 year's follow-up.
DISCUSSION AND CONCLUSION
Cervically located CD often shows few symptoms, and is rarely suggested by a cervical mass found in children. Definitive diagnosis is histopathological. The hyaline vascular type of unicentric CD has a good prognosis after complete resection of the lesion.
引言
单中心Castleman病（CD）是一种罕见的良性淋巴增生性疾病。儿科文献中很少报道其发生于颈部。
病例报告
一名13岁男孩，右侧颈部肿物3个月，逐渐增大。临床检查发现胸锁乳突肌深部有一个5厘米大小、质地光滑、可活动的淋巴结。通过完整手术切除及组织病理学检查确诊为透明血管型Castleman病。术后病程简单，随访1年无复发。
讨论与结论
颈部Castleman病通常症状较少，儿童颈部肿物很少提示为此病。确诊依靠组织病理学检查。单中心透明血管型Castleman病在病变完整切除后预后良好。
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