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[儿童Castleman假瘤。关于一例罕见病例]

[Castleman's pseudotumor in children. Apropos of an unusual case].

作者信息

Anagnostopoulos D, Miliaras E, Miliaras D, Manios S, Tekneji P

机构信息

Service de Chirurgie Pédiatrique, Thessaloniki, Grèce.

出版信息

Chir Pediatr. 1988;29(5):269-72.

PMID:3228935
Abstract

A case of abdominal pseudo-tumor of Castleman disease is reported in a nine year-old boy. The patient is well without evidence of recurrence three years following resection. Castleman's disease is a benign disorder of lymph nodes that occurs rarely in children. Since the first description by Castleman in 1954, 286 other cases have been published and we could find only four cases in the 10 year and younger age group in the literature and only one case in the same group with anemia, hypergammaglobulinemia fever and weight loss. The management requires surgical resection of the enlarged nodes both for diagnosis and therapy, since the enlarged nodes can mimic malignant tumors of the lymphoid system. After surgical excision no recurrences have been reported.

摘要

报告了一例9岁男孩的Castleman病腹部假性肿瘤病例。该患者在切除术后三年情况良好,无复发迹象。Castleman病是一种淋巴结良性疾病,在儿童中很少见。自1954年Castleman首次描述以来,已发表了286例其他病例,而我们在文献中仅能找到10岁及以下年龄组的4例,且同组中仅有1例伴有贫血、高球蛋白血症、发热和体重减轻。治疗需要手术切除肿大的淋巴结以进行诊断和治疗,因为肿大的淋巴结可能类似淋巴系统的恶性肿瘤。手术切除后未见复发报道。

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