Jbali S, Zarraa S, Hadhri A, Noubbigh G E F, Yahyaoui S, Nasr C
Head and Neck Department, Salah Azaiez Institute of Cancer, Tunis University of Medicine, University Tunis El Manar, Tunis, Tunisia.
Radiotherapy Department, Salah Azaiez Institute of Cancer, Tunis University of Medicine, University Tunis El Manar, Tunis, Tunisia.
Int J Surg Case Rep. 2022 Oct;99:107599. doi: 10.1016/j.ijscr.2022.107599. Epub 2022 Sep 5.
Castleman's disease (CD) is a rare and benign disease often identified in the mediastinum with few cases in the head and neck area. Parapharyngeal Castleman's disease was rarely reported in the literature. The aim of our work was to discuss the management of this particular location of CD. It was about a case report that has been reported in line with the SCARE 2020 criteria (Agha et al., 2020 [1]).
We report the case of a 53-year-old female patient who presented a left parotid tumefaction. Radiological investigations showed a parapharyngeal mass that was surgically removed. Definitive pathologic report concluded to Castleman's disease. She presented, one year later, a retropharyngeal recurrence, which was treated by radiotherapy with good response.
Castleman's disease located in parapharyngeal spaces is an entity that was rarely reported in the literature. Surgical excision is the golden standard treatment. Radiotherapy is also an effective treatment that can be offered for unresectable cases or recurrences of Castleman's disease.
卡斯特leman病（CD）是一种罕见的良性疾病，常在纵隔发现，头颈部病例较少。文献中很少报道咽旁卡斯特leman病。我们工作的目的是讨论这种特殊部位CD的治疗方法。这是一篇按照SCARE 2020标准（Agha等人，2020 [1]）报告的病例报告。
我们报告了一例53岁女性患者，其左侧腮腺出现肿胀。影像学检查显示一个咽旁肿块，通过手术切除。最终病理报告诊断为卡斯特leman病。一年后，她出现咽后复发，接受放疗后反应良好。
位于咽旁间隙的卡斯特leman病是文献中很少报道的一种疾病。手术切除是金标准治疗方法。放疗也是一种有效的治疗方法，可用于不可切除的病例或卡斯特leman病的复发。
