Kracht J, Jacobi K W
Klin Monbl Augenheilkd. 1977 Oct;171(4):553-62.
The first case of benign angiofollicular lymphoma (Castleman) of the lower and upper eyelid is reported. The patient was a 79-year-old woman. The multifocal tumor was removed in two operations. The patient has since been free of complaints and the tumor has not recurred. This observation shows that Castleman's tumor must be included in the differential diagnosis of ophthalmologic benign and malignant lymphomas and pseudolymphomas. The diversity in nomenclature of this tumor expresses the varying pathogenetic and etiologic concepts. As in the present case, the majority of extrathoracal angiofollicular lymphomas of the hyaline-vascular type is obviously best interpreted as being hamartomas or choristomas. This does not exclude a poly-etiology, especially of the plasma cell type which is associated with general clinical symptoms.
本文报告了首例发生于上下眼睑的良性血管滤泡性淋巴瘤（卡斯尔曼病）。患者为一名79岁女性。通过两次手术切除了多灶性肿瘤。此后患者无不适主诉，肿瘤未复发。该病例表明，卡斯尔曼病必须列入眼科良性和恶性淋巴瘤及假性淋巴瘤的鉴别诊断中。该肿瘤命名的多样性反映了其发病机制和病因学概念的不同。如本例所示，大多数透明血管型胸外血管滤泡性淋巴瘤显然最好解释为错构瘤或迷离瘤。这并不排除多病因，特别是与全身临床症状相关的浆细胞型。
