Fields S, Bar-Ziv J, Portnoy O, Sasson T, Sherman Y, Libson E
Department of Radiology, Hadassah University Hospital, Jerusalem, Israel.
Isr J Med Sci. 1995 Nov;31(11):660-9.
We report seven patients with the localized form of Castleman's disease, diagnosed by surgical biopsy; four had the plasma cell type and three the hyaline vascular type. A variety of nonspecific clinical and radiologic findings were identified in these patients. Precise clinical staging is important to separate the widespread from the localized form of Castleman's disease, as the localized form may be successfully treated surgically. Percutaneous core needle biopsy is not helpful in the diagnosis of Castleman's disease. Significant computerized tomography enhancement with intravenous contrast in the hyaline vascular type is indicative of increased vascularity which may cause surgical complications when resection is attempted.
我们报告了7例经手术活检确诊为局限性Castleman病的患者；其中4例为浆细胞型，3例为透明血管型。这些患者出现了各种非特异性的临床和影像学表现。准确的临床分期对于区分Castleman病的广泛型和局限型很重要，因为局限型可通过手术成功治疗。经皮芯针活检对Castleman病的诊断没有帮助。透明血管型在静脉注射造影剂后计算机断层扫描有显著强化，这表明血管增多，在尝试切除时可能导致手术并发症。
