腹膜后局限性CastLeman病4例报告并文献复习  

Retroperitoneal local CastLeman's disease: 4 case reports and literature review

作　　者：杨冬园 周四维[2] 

机构地区：[1]四川省第四人民医院泌尿外科,成都610016 [2]华中科技大学同济医学院附属同济医院泌尿外科

出　　处：《临床泌尿外科杂志》2013年第2期133-135,共3页Journal of Clinical Urology

摘　　要：目的:报告偶然发现的4例腹膜后局限性CastLeman病,并结合文献复习,以提高对该疾病的认识及诊疗水平。方法:回顾性分析4例术前未能明确诊断的后腹膜占位性病变病例,经手术切除,术后病理证实为较少见的局限性CastLeman病。结果:4例均经手术完整切除肿瘤,未行辅助治疗,随访7个月～4年2个月,4例患者均无瘤存活,未见肿瘤复发。结论:腹膜后CastLeman病临床症状不典型,术前实验室及影像学检查无特异性,常易误诊。手术探查切除肿瘤为首选治疗方法,疗效较好,最终明确诊断有赖于病理学检查。Objective：We reported the incidentally found 4 cases of retroperitoneal the local CastLeman＇s dis- ease and undertook a literature review to improve the diagnosis and treatment of the disease. Method： Retrospec- tively analyzed 4 cases with retroperitoneal mass which failed to confirm the diagnosis before surgery. After surgi- cal resection, the pathological results were local CastLeman＇s disease. Result： All 4 cases received complete surgical resection of the tumor. No adjuvant therapy was administrated. Follow-up ranged form 4 months to 4 years and 2 months. No recurrence was observed. Conclusion： Retroperitoneal CastLeman＇s disease has no typical clinical find- ings. It may pose a diagnose dilemma because of its lack of specific lab test and distinguish radiographic features. Surgical exploration to remove the tumor is the preferred treatment with fair outcome. Eventually confirming diag- nosis depends on the pathological examination.

关 键 词：CASTLEMAN病 诊断 治疗 

分 类 号：R737[医药卫生—肿瘤]