[胸腔镜手术成功切除胸壁Castleman病；病例报告]

[Castleman's Disease of the Chest Wall Successfully Resected by Thoracoscopic Surgery；Report of a Case].

作者信息

Naomi Akira, Kuroda Hiroaki, Seto Katsutoshi, Iiduka Shuhei, Dejima Hitoshi, Mizuno Tetsuya, Sakakura Noriaki, Sakao Yukinori

机构信息

Department of Thoracic Surgery, Aichi Cancer Center Hospital, Nagoya, Japan.

出版信息

Kyobu Geka. 2015 Dec;68(13):1114-7.

PMID:26759958

Abstract

A 61-year-old woman without a significant past medical history was pointed out the abnormal shadow on the annual medical checkup. Chest computed tomography (CT) revealed a well-defined paravertebral chest wall tumor of 20 mm in maxmum size. Furthermore, diffusion weighted image on magnetic resonance imaging (MRI) showed high intensity, and standardized uptake value (SUV) max on positron emission tomography/computed tomography (PET/CT) was 13.4. Schwanoma, solitary fibrous tumor (SFT) or malignant lymphoma was suggested. Complete resection was performed with thoracoscopic surgery. The histological diagnosis was Castleman's disease with hyalineized type.

摘要

一位61岁、既往无重大病史的女性在年度体检时被发现有异常阴影。胸部计算机断层扫描（CT）显示一个边界清晰的椎旁胸壁肿瘤，最大尺寸为20毫米。此外，磁共振成像（MRI）的扩散加权图像显示为高信号，正电子发射断层扫描/计算机断层扫描（PET/CT）的最大标准化摄取值（SUV）为13.4。考虑为神经鞘瘤、孤立性纤维性肿瘤（SFT）或恶性淋巴瘤。通过胸腔镜手术进行了完整切除。组织学诊断为透明血管型Castleman病。