颈部Castleman's病影像学特征和临床特点

Imaging features and clinical characteristics on Castleman's disease on neck

目的探讨颈部Castleman's病的影像学表现及其临床病理特征。方法回顾性分析15例经手术和病理证实的颈部Castlemans病患者的影像学表现和临床病理资料。结果男性6例,女性9例,按Frizzera分类标准分为局灶性13例,其中浆细胞型-霍奇金病1例,透明血管型8例,混合型4例;多中心性2例,其中浆细胞型及混合型各1例。颈部CD具有以下影像学特征:(1)单发较大或多发融合的软组织肿物;(2)瘤体呈显著均匀同步强化;(3)瘤体内可见点状分布的钙化灶;(4)无出血和坏死灶。结论颈部Castleman's病的确诊主要依靠病理组织学检查,CT增强扫描有助于其临床诊断、鉴别诊断和术中处理。

Objective To review the experience of diagnosis and treatment of Castleman＇s disease（CD）on neck and to discuss it＇s imaging features and clinical characteristics.Methods The xlinicopathological characteristics and imaging features on 15 patients with CD on neck confirmed by operation and pathology were retrospectively analyzed.Results There were 6 males and 9 females.Thirteen localized Castleman＇s disease（LCD）constituted of 8 cases with hyaline vascular type（HV）,4 cases with mixture type（Mix）and 1 case with plasma cell type（PC）-Hodgkin＇s disease（HD）;2 multicentric Castleman＇s disease（MCD）constituted of plasma cell type（PC）and mixture type（Mix）were classified according to the criteria described by Frizzera.The imaging features of CD on neck included single larger or multiple fused soft tissue mass,simultaneously and homogeneously enhanced tumor,spot distributed calcification in tumor,no hemorrhage and necrosis.Conclusion CD on neck must be confirmed by pathology.Enhanced CT scanning contributes to diagnosis,distinguishment and intraoperative treatment of CD.