胸内巨大淋巴结增生症1例报告并文献复习

One case report of Castleman's Disease Presenting and the related Literature Review

目的:探讨以肺门及纵隔肿块表现的罕见胸内巨大淋巴结增生症的临床特点、诊断及治疗方法,减少误诊误治的发生。方法:总结1例诊断及治疗经过,结合文献重点对临床特点、胸部CT进行复习。结果:本例为28岁女性,经手术明确诊断,随访18个月,效果良好。结论:以肺门及纵隔肿块表现的罕见巨大淋巴结增生症病程进展缓慢,胸部CT增强扫描肿块边缘血管样强化,可望术前明确诊断。

Objective：To discuss the clinical characteristics, diagnosis and treatment of Castleman＇s disease presenting as hilar and mediastinal mass. Method：The process of the diagnosis and treatment of one case of Castleman＇s disease was summarized. The clinical characteristics ,CT scanning and the data from other investigators were retrospectively studied. Results ： The patient was a 28-years-old female. The diagnosis was confirmed by operation. The therapeutic result is satisfying after two years of follow-up. Conclusion ：The course of Castleman＇s disease evolves slowly. The diagnosis might be confirmed by the abundant blood supply found by preoperative CT scanning with contrast.