Kimura H, Watanabe Y, Ohashi N, Kobayashi M, Asai M, Mizukoshi K
Department of Otolaryngology, Toyama Medical and Pharmaceutical University, Japan.
Acta Otolaryngol Suppl. 1993;504:146-50. doi: 10.3109/00016489309128143.
We report a case of Castleman's disease in a 48-year-old male who complained of a rapidly enlarging mass on the neck. Thrombocytopenia and the facio-scapulo-humeral type of progressive muscular dystrophy were also present. The mass was extirpated, and histopathological examinations showed the hyaline-vascular type of Castleman's disease. Following resection, thrombocytopenia was ameliorated. Immunological study with flow cytometric analysis was made to clarify the nature of his mass. With reference to recent literature we suggest that the hyaline-vascular type of Castleman's disease may be an atypical hyperplasia of the lymphoid tissue.
我们报告一例48岁男性的Castleman病，该患者主诉颈部有一迅速增大的肿块。同时还存在血小板减少症和面肩肱型进行性肌营养不良。肿块被切除，组织病理学检查显示为Castleman病的透明血管型。切除术后，血小板减少症得到改善。进行了流式细胞术免疫研究以阐明肿块的性质。参照最近的文献，我们认为Castleman病的透明血管型可能是淋巴组织的一种非典型增生。
