Bhatia Vikram, Singh Satender Pal, Mishra Ajay Kumar, Rath Indira, Prabhu Meghana, Bihari Chhagan
Department of Hepatology, Institute of Liver and Biliary Sciences (ILBS), New Delhi, India.
Department of Nuclear Medicine, Institute of Liver and Biliary Sciences (ILBS), New Delhi, India.
J Cytol. 2023 Jul-Sep;40(3):145-147. doi: 10.4103/joc.joc_63_23. Epub 2023 Aug 14.
Castleman disease is a nonmalignant, lymphoproliferative disorder. Unicentric disease type involves a single enlarged lymph node or nodal regions, and multicentric disease involves multiple lymph node site involvement. We present a case of 26-year-old young female presented to outpatient with complaint of generalized weakness and abdominal pain for last 2 months. Her imaging included positron emission computed tomography which showed soft-tissue mass along the body of pancreas. Endoscopic ultrasound done showed nodal mass with extensive calcification and doppler endoscopic ultrasound showing arborising vessels. Fine needle aspiration cytology (FNAC) and biopsy taken showed lymphoid cells and diffuse hyaline material. After suboptimal response to chemotherapy regimen, she underwent open laparotomy and excision of the retroperitoneal mass.
卡斯特曼病是一种非恶性的淋巴增生性疾病。单中心型疾病累及单个肿大的淋巴结或淋巴结区域，多中心型疾病则累及多个淋巴结部位。我们报告一例26岁年轻女性，因过去两个月全身乏力和腹痛前来门诊就诊。她的影像学检查包括正电子发射计算机断层扫描，显示胰腺体部有软组织肿块。内镜超声检查显示有结节状肿块伴广泛钙化，多普勒内镜超声显示有树枝状血管。细针穿刺细胞学检查（FNAC）及活检显示有淋巴细胞和弥漫性透明物质。在对化疗方案反应欠佳后，她接受了剖腹探查术并切除了腹膜后肿块。
