Yu Guanyu, Cao Fuao, Gong Haifeng, Liu Peng, Sun Ge, Zhang Wei
Department of Colorectal Surgery, Changhai Hospital, Shanghai, China.
Department of Colorectal Surgery, Changhai Hospital, Shanghai, China
Gastroenterol Rep (Oxf). 2019 Apr;7(2):141-145. doi: 10.1093/gastro/gow040. Epub 2017 Jan 5.
A 23-year-old male patient was diagnosed as having a hypervascular pelvic mass by ultrasonography and magnetic resonance examination. A pathology puncture showed vitreous vascular Castleman's disease. Because of concerns about tumor blood supply, embolization under digital subtraction angiography (DSA) was performed on the artery of the pelvic tumor before resection of the mass and surrounding rectum. Castleman's disease of pelvic lymph node (mixed type, mainly hyaline vascular type) was confirmed pathologically from postoperative biopsy. Embolization of the blood-supply artery of a hypervascular mass should be considered before surgery is performed.
一名23岁男性患者经超声和磁共振检查诊断为盆腔富血管性肿块。病理穿刺显示为玻璃体血管型Castleman病。由于担心肿瘤血供，在切除肿块及周围直肠前，在数字减影血管造影（DSA）下对盆腔肿瘤动脉进行了栓塞。术后活检病理证实为盆腔淋巴结Castleman病（混合型，以透明血管型为主）。对于富血管性肿块，在手术前应考虑对其供血动脉进行栓塞。
