Castleman病的CT表现(附13例报告)  

CT features of Castleman's disease(13 cases report)

作　　者：张也乐[1] 徐青[1] 窦丽娜[1] 孙娜娜[1] 

机构地区：[1]南京医科大学第一附属医院放射科,江苏南京210029

出　　处：《南京医科大学学报（自然科学版）》2013年第2期239-242,共4页Journal of Nanjing Medical University(Natural Sciences)

基　　金：江苏高校优势学科建设工程资助项目(JX10231801)

摘　　要：目的:分析Castleman病的螺旋CT表现,提高对本病的认识及影像诊断水平。方法:回顾性分析经病理证实的13例Castleman病的螺旋CT表现。结果:病变发生在后腹膜7例,右颈部3例,右咽部1例,纵隔1例,盆腔1例。局灶型8例,多中心型5例。透明血管型11例,浆细胞型1例,Castleman病伴浆细胞瘤1例。局灶型Castleman病病理类型多为透明血管型,平扫表现为体积较大、密度均匀软组织密度影,可伴钙化及囊变,CT增强扫描肿块表现为中度至明显强化,且强化方式与主动脉同步。多中心型Castleman病的病灶体积都不大,表现为多个软组织结节,平扫呈等低密度,增强后表现为中度至明显均匀强化。结论:局灶型透明血管型Castleman病有特征性CT影像表现,多中心型Castleman病缺乏特征性影像学表现,确诊依赖组织病理学。Objective：To analyze the CT findings of Castleman＇s diseases in order to improve diagnostic level. Methods： CT imaging features of 13 patients with Castleman＇s disease proved by surgery pathology were retrospectively reviewed. Results： Pathological changes were found in 7 cases in the retroperitoneal zone,3 cases in right cervical part, 1 case in right pharyngeal portion, 1 in mediastinum and 1 in pelvic cavity. Eight cases were the lesions with local and disseminated distribution and 5 cases were muhicentric. Eleven cases were hyaline vascular subtype, 1 case was plasma cell subtype and 1 case was Castleman＇s disease with plasmocytoma. Localized Castleman＇s disease often showed large homogeneous soft tissue with calcification and cyst formation, and tumor had significant enhancement which was similar to the enhance model of aorta. Multicentric Castleman＇s disease showed muhiple soft tissue nodules and moderate to significant enhancement. Conclusion：Localized Castleman＇s disease of hyaline vascular subtype has some performance characteristics of CT,while muhicentric Castleman＇s disease has no imaging feature, so the diagnosis of Castleman＇ s disease depends on pathology.

关 键 词：CASTLEMAN病 体层摄影术 X线计算机 

分 类 号：R557.4[医药卫生—血液循环系统疾病]