局限型Castleman病的彩色多普勒超声表现

Color Doppler imaging feature of localized Castleman disease

目的总结局限型Castleman病的彩色多普勒超声影像学特征。方法回顾性分析1997年1月至2011年11月收治并经病理证实的Castleman病32例。结果透明血管型23例，表现为类圆形、低回声肿块，血供丰富，其中2个病灶合并钙化，3例测及类似淋巴门样结构。浆细胞型5例，混合型4例，表现为类似透明血管型或类似正常淋巴结。结论当超声检查时发现类圆形、血供丰富的低回声肿块时应考虑到局限性Castleman病的可能。肿物内测及钙化或类似淋巴门样结构是相对特异的超声影像学表现。

Objective To summary the color Doppler imaging feature of localized Castleman disease. Methods From January 1997 to November 2011,32 localized Castleman diseases which were proved by pathology were analyzed. Results Round-like, hypoechoic,hypervascular lesions were showed in 23 hyaline- vascular type lesions,2 of them with calcium,3 of them with structure liked lymph node hilum. Round-like, hypoechoic,hypervascular lesions or normal lymph node were showed in 5 plasmatype lesions and 4 mixed type lesions. Conclusions When round-like,hypoechoic, hypervascular lesion is found by ultrasonography, Castleman should be considered. Calcium or lymph nod hilum-like structure is special finding in diagnosis of Castleman disease by ultrasonography.