Zhou Hui-Hong, Chen Qian-Qian, Yuan Fang, Sun Jing-Jing, Tian Zhen, Xiong Ping
Department of Ultrasound Medicine, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011, China. E-mail:
Shanghai Kou Qiang Yi Xue. 2024 Jun;33(3):328-331.
To summarize the ultrasonographic features of head and neck Castleman disease (CD), and to clarify its diagnostic key points.
Seven patients with head and neck CD confirmed by histopathology were collected from Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. The clinical features and ultrasound findings of the patients were evaluated.
Of the 7 patients (1 male and 6 females), the mean age at diagnosis was 31.4 years (7-60 years). All the cases were hyaline vascular type. On ultrasound, 3 lesions (42.9%) were located in the parotid gland, 4 lesions(57.1%) in the neck. All the lesions presented as a solitary, well-defined and solid mass without calcification. The echogenicity was markedly hypoechoic in 1 case(14.3%) and hypoechoic in 6 cases (85.7%). Of the 7 CD cases, 4 cases (57.1%) were heterogeneous masses with linear echogenic septa. All lesions had mixed pattern in vascularity on color Doppler sonography.
Most CDs in the head and neck represent as a markedly hypoechoic or hypoechoic lesion with mixed pattern in vascularity. The neoplasm may be characterized by the presence of linear echogenic septa within the mass.
总结头颈部卡斯特曼病（CD）的超声特征，明确其诊断要点。
收集上海交通大学医学院附属第九人民医院经组织病理学确诊的7例头颈部CD患者，评估患者的临床特征及超声表现。
7例患者（男1例，女6例）诊断时平均年龄31.4岁（7 - 60岁）。所有病例均为透明血管型。超声检查显示，3个病灶（42.9%）位于腮腺，4个病灶（57.1%）位于颈部。所有病灶均表现为孤立的、边界清晰的实性肿块，无钙化。回声情况：1例（14.3%）为明显低回声，6例（85.7%）为低回声。7例CD病例中，4例（57.1%）为内部有线性回声分隔的不均匀肿块。彩色多普勒超声显示所有病灶血管分布均为混合模式。
头颈部的大多数CD表现为明显低回声或低回声病灶，血管分布呈混合模式。该肿瘤的特征可能为肿块内存在线性回声分隔。
