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肠系膜 Castleman 病的巨大伪装:1 例偶然发现及文献复习。

Castleman disease of the mesentery as the great mimic: Incidental finding of one case and the literature review.

机构信息

Department of Hepato-Pancreato-Biliary Surgery, Peking University school of Oncology, Beijing Cancer Hospital & Institute.

出版信息

Biosci Trends. 2015 Jun;9(3):198-202. doi: 10.5582/bst.2015.01065.

Abstract

Castleman disease is an uncommon benign lymphoproliferative disorder characterized by hyperplasia of lymphoid follicles. More commonly described in the mediastinum, its occurrence in the mesentery is exceedingly rare, which is easily to be ignored in differential diagnosis when an abdominal mass is found. We report the case of an asymptomatic 71-year-old woman with a homogenous and hypervascular mass at the inner side of duodenojejunal junction. Based on the clinical suspicion of a gastrointestinal stromal tumor, a surgical resection was performed. Final diagnosis of the mass was hyaline vascular variant of Castleman disease. Here, we summarize the clinicopathological and radiological features of this disease by literature review, which may be helpful to bring awareness of this entity and improve the clinical decision making when similar scenarios are encountered.

摘要

血管滤泡性淋巴结增生症是一种少见的良性淋巴组织增生性疾病,其特征为淋巴滤泡增生。血管滤泡性淋巴结增生症多发生于纵隔,肠系膜发生极为罕见,当发现腹腔肿块时,在鉴别诊断中极易被忽视。我们报道了一例 71 岁无症状女性患者,于十二指肠空肠连接处内侧可见均质且富血供肿块。基于对胃肠道间质瘤的临床怀疑,进行了手术切除。肿块的最终诊断为血管透明性血管型 Castleman 病。在此,我们通过文献复习总结了该病的临床病理和影像学特征,这有助于提高对该疾病的认识,并在遇到类似情况时改善临床决策。

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