Kiguchi H, Ishii T, Ishikawa Y, Masuda S, Asuwa N, Yamafuji K, Takahashi T
Department of Pathology, Hachioji Medical Center, Tokyo Medical College, Japan.
J Gastroenterol. 1995 Oct;30(5):661-6. doi: 10.1007/BF02367795.
Three cases of Castleman's disease (CD) of the abdomen and pelvis are reported. Tumoral lesions were located in the lymph nodes of the head of the pancreas, the gastropancreatic fold, and around the left iliac artery. Histologically, all the tumoral lesions demonstrated the hyalinevascular type of CD. This unusual presentation made CD difficult to diagnose preoperatively, since these lesions more closely resembled malignant tumors on computed tomography and angiography. We discuss the problems of diagnosing and classifying CD, together with a review of the literature.
本文报告了3例腹部和盆腔的Castleman病(CD)。肿瘤性病变位于胰头淋巴结、胃胰襞和左髂动脉周围。组织学上,所有肿瘤性病变均表现为CD的透明血管型。这种不寻常的表现使得CD在术前难以诊断,因为这些病变在计算机断层扫描和血管造影上更类似于恶性肿瘤。我们结合文献复习讨论了CD的诊断和分类问题。