颈部木村病与Castleman病超声及病理学诊断特征分析

Analysis of ultrasonographic and pathological diagnostic features between neck kimura′s disease and Castleman disease

目的探讨颈部木村病以及Castleman病的超声和病理学特征。方法选择2016年6月至2019年6月青岛市市立医院超声科经术后病理证实为颈部木村病和颈部Castleman病的患者,分别为5例和9例,收集患者的临床、超声以及病理资料进行分析与总结。结果颈部木村病及Castleman病的超声图像均多表现为形态规则、边界清晰的均匀性低回声结节,但Castleman病结节内部多可见点线状高回声;彩色多普勒血流显像示木村病多为较丰富的树枝样血流,Castleman病多为较丰富的周围型血流。木村病及Castleman病的病理图像均为淋巴组织显著增生,木村病另可见大量嗜酸性粒细胞浸润,而Castleman病可见大量淋巴滤泡。结论颈部木村病及Castleman病在超声以及病理上有一定特异性,根据超声和病理学特征可对两者作出诊断和鉴别诊断。

Objective To investigate the ultrasonic and pathological features of neck kimura′s disease and Castleman disease.Methods The clinical,ultrasound and pathological data of 5 patients with neck kimura′s disease and 9 patients with neck Castleman disease who were confirmed by postoperative pathology in the Ultrasonic Department of Qingdao Municipal Hospital from June 2016 to June 2019 were analyzed and summarized.Results The ultrasound of neck kimura′s disease and Castleman disease mostly presented a regular morphology,well-defined boundary and homogeneously hypoechoic nodulues.Howerer,in Castleman disease,there were dots and linear hyperechoes in the nodules.The color doppler flow imaging of kimura′s diasese mainly manifested in rich dendritic blood flow,while that of Castleman disease mainly presented in rich peripheral blood flow.The pathology of neck kimura′s disease and Castleman disease showed significant hyperplasia of lymphoid tissue.Kimura′s disease had rich eosinophils and Castleman disease had rich folliculi lymphaticus.Conclusions Neck kimura′s disease and Castleman disease have certain specificity in ultrasound and pathology.It is not difficult to make diagnosis and differential diagnosis based on ultrasonographic and pathological features.