Kumar Sudesh, Al Abri Rashid, Kadir Nasreen Abdul, Lokuhetty Dilani
Division of Otorhinolaryngology-Head Neck Surgery, Department of Surgery, Sultan Qaboos University Hospital, Muscat 123, Oman.
Ear Nose Throat J. 2014 Oct-Nov;93(10-11):E23-5.
Castleman disease, also called angiofollicular lymph node hyperplasia, is a rare lymphoproliferative disorder characterized by enlarged hyperplastic lymph nodes. Affected patients usually present with mediastinal lymphadenopathy; sometimes other groups of lymph nodes are involved, with or without associated systemic manifestations. We report a case of Castleman disease involving the intraparotid lymph node in a 15-year-old boy who presented with a 3-month history of a painless swelling of the right parotid gland. Fine-needle aspiration cytology of the mass revealed only reactive hyperplasia. The diagnosis of Castleman disease was established on histopathologic examination of the resected mass. We discuss the clinical course, histopathologic features, radiologic characteristics, and management of Castleman disease of the parotid gland in a pediatric patient.
卡斯尔曼病，也称为血管滤泡性淋巴结增生，是一种罕见的淋巴增生性疾病，其特征为淋巴结肿大和增生。受影响的患者通常表现为纵隔淋巴结病；有时其他淋巴结组也会受累，伴有或不伴有相关的全身表现。我们报告一例15岁男孩的腮腺内淋巴结卡斯尔曼病，该男孩有3个月的右侧腮腺无痛性肿胀病史。肿块的细针穿刺细胞学检查仅显示反应性增生。通过对切除肿块的组织病理学检查确诊为卡斯尔曼病。我们讨论了小儿腮腺卡斯尔曼病的临床病程、组织病理学特征、影像学特点及治疗。
