Raboso Eduardo, Barberá Rafael, Guimaraens Leopoldo, Solorzano Jose Luis, Delgado-Vargas Beatriz
Otolaryngology Department, MD Anderson Cancer Center Madrid, Spain.
Endovascular and Percutaneous Therapeutic Department, Hospital Nuestra Señora del Rosario, Madrid, Spain.
Int J Pediatr Otorhinolaryngol. 2019 Oct;125:164-167. doi: 10.1016/j.ijporl.2019.07.017. Epub 2019 Jul 15.
Castleman's disease is a very rare entity in pediatric population and its presentation in the neck is scarcely described in the literature. We present the case of a 10-year-old-girl with an expanding neck mass over several months causing dysphagia and dyspnea. Surgical excision of the mass was performed and the analysis revealed unicentric Castleman's Disease. This is the second largest reported case of neck pediatric CD in the literature, and it presented with a symptomatology that differs from the other cases described. This fact highlights the need to include CD in the differential diagnosis of pediatric neck masses.
Castleman病在儿科人群中非常罕见，其在颈部的表现鲜有文献报道。我们报告一例10岁女孩的病例，其颈部肿物在数月内逐渐增大，导致吞咽困难和呼吸困难。对该肿物进行了手术切除，分析显示为单中心Castleman病。这是文献报道的第二大儿科颈部Castleman病病例，其表现出与其他已描述病例不同的症状。这一事实凸显了在儿科颈部肿物的鉴别诊断中纳入Castleman病的必要性。
