摘要
目的:探讨肠系膜局限型Castleman病的临床诊断及治疗。方法:收集3例肠系膜局限型Castleman病患者的临床资料,并结合有关文献进行分析。结果:2例患者成功行手术完整切除,1例患者行姑息切除,术后后继化疗。术后病理证实3例均为透明血管型。术后随访12～24个月未发现肿瘤复发。结论:肠系膜局限型Castleman病临床发病率低,术前很难明确诊断,CT增强扫描是重要的影像学诊断方法,术前对肠系膜局限型Castleman病的诊断具有重要意义,确诊仍要靠术中冰冻及术后常规病理。手术切除肿瘤为首选治疗手段,对于姑息切除者可给予后继化疗或放疗。
Objective：To approach the diagnosis and management of the level of Local Castleman＇s Disease（ LCD）.Methods：Three cases of Local Cattleman＇s Disease were reported and literature was reviewed.Results：Both of 3 cases underwent a completely surgical resection and one case underwent a palliation surgical resection,Post operation pathological reports confirm three patients suffering from hyaline vascular Castleman＇s Disease.3 cases were followed up for 12 to 24 months postoperatively and no tumor recurrence was found.Conclusion：Castleman＇s Disease is a rare disease,It ＇s difficult to make pre operation diagnosis for Castleman＇s Disease.CT examination before operation is to certain degree helpful towards the diagnosis of Local Castleman＇s Disease.Final diagnosis department to Post operation pathological reports.Surgical resection of tumor is the preferred therapeutic choice.Chemotherapy and radiotherapy may contribute to control of the disease for palliation surgical resection.
