Castleman病的CT表现  

CT Findings of Castleman′s Disease

作　　者：孙伟英[1] 袁建华[1] 周俊[1] 丁忠祥[1] 吴影[1] 蔡学祥[1] 

机构地区：[1]浙江省人民医院放射科,杭州310014

出　　处：《放射学实践》2007年第2期154-157,共4页Radiologic Practice

摘　　要：目的：探讨Castleman病的CT表现及其诊断价值。方法：回顾性分析13例经病理证实的Castleman病的临床资料和CT表现，并与病理结果进行对比分析。结果：病变部位：胸部7例，腹膜后3例，肠系膜2例，颈部1例。临床分型：局灶型10例，多中心型3例。病理分型：透明血管型11例，浆细胞型2例。CT表现：CT平扫示病灶均为等密度，2例伴有钙化；增强扫描示透明血管型病灶均有明显持续强化，浆细胞型病灶呈轻度～中度强化。结论：Castleman病的CT表现与病理类型密切相关，透明血管型病变的CT表现具有特征性。Objective：To study the CT findings of Castleman＇s disease and the diagnostic value of CT. Methods：Clinical data and CT findings in 13 cases of Castleman＇s disease proved by pathology were retrospectively analyzed and correlated with pathology. Results： Locations of the lesions were as follows ： intra-thorax （n = 7）, retroperitoneum （ n = 3 ）, mesentery （n=2） and neck （n= 1）. The clinical subtypes were localized and solitary type （n= 10） and multicentric type （n= 3）. As for histopathologic classification, there were hyaline-vascular type （n= 11 ） and plasma cell type （n= 2）. Apart from 2 cases with intra-tumoral calcifications,the other ones showed homogeneous attenuation on plain CT. After contrast administration,marked and sustained enhancement was showed in hyaline-vascular type,mild-moderate enhancement was showed in plasma cell type. Conclusion： CT findings were closely correlated with pathological subtypes in Castleman＇s disease. Characteristic features could be revealed in hyaline-vascular subtype.

关 键 词：体层摄影术 X线计算机 巨淋巴结增生 淋巴结 

分 类 号：R55[医药卫生—血液循环系统疾病]