Zhou You-Xin, Ji Yong, Wu Sheng
Department of General Surgery, People Hospital of Jingjiang.
Department of Pathology, People Hospital of Jingjiang, YangZhou University Medical Academy, Jingjiang, Taizhou, China.
Medicine (Baltimore). 2020 Mar;99(11):e19515. doi: 10.1097/MD.0000000000019515.
Castleman disease (CD) is a rare lymphoproliferative disease with a poorly understood etiology. The occurrence of CD in the abdominal cavity is very rare, especially in the retroperitoneal peripancreatic region.
A 33-year-old woman was referred to our department on March 1, 2018 for a detailed physical examination due to retroperitoneal peripancreatic lymph node enlargement over 15 days.
Enhanced magnetic resonance imaging of the epigastrium showed the mass with abundant blood supply is located between the liver and the stomach in the upper margin of the pancreas. Postoperative pathological examination revealed CD, type of unicentric Castleman disease.
We performed an open surgery on this patient and completely removed the mass. There was no postoperative radiochemotherapy.
The patient was followed-up for more than 12 months after the operation and showed good recovery.
CD is a rare disorder that is hard to diagnose early and complete resection of the tumor is still the most effective treatment.
卡斯特曼病（CD）是一种病因尚不清楚的罕见淋巴增生性疾病。腹腔内发生CD非常罕见，尤其是在腹膜后胰周区域。
一名33岁女性因腹膜后胰周淋巴结肿大15天，于2018年3月1日转诊至我科进行详细体格检查。
上腹部增强磁共振成像显示，血供丰富的肿块位于胰腺上缘肝与胃之间。术后病理检查显示为单中心型卡斯特曼病。
我们对该患者进行了开放手术，完整切除了肿块。术后未进行放化疗。
患者术后随访12个月以上，恢复良好。
CD是一种罕见疾病，早期难以诊断，肿瘤完整切除仍是最有效的治疗方法。
