腹膜后Castleman＇s disease CT表现特征初步探讨  

Preliminary Experience of CT Features of Retroperitoneal Castleman's Disease

作　　者：郑伟[1] 刘云[2] 何闯[3] 任丽[1] 

机构地区：[1]成都军区第452医院医学影像科,肿瘤放疗科,四川成都610021 [2]第三军医大学大坪医院野战外科研究所肿瘤中心,重庆400042 [3]第三军医大学西南医院放射科,重庆400038

出　　处：《四川医学》2016年第1期100-103,共4页Sichuan Medical Journal

摘　　要：目的探讨腹膜后Castleman病的CT表现特点,以提高其诊断水平。方法收集经病理证实腹膜后Castleman病4例CT资料进行回顾性分析。结果 CT表现:腹膜后右侧2例、左侧1例、肠系膜根部1例,瘤周多发卫星灶4例,病灶边界清楚2例,瘤内坏死1例,瘤内钙化4例。增强可见供血动脉1例,引流静脉1例。病理诊断:透明血管型3例,浆细胞型1例。结论腹膜后Castleman病表现为椭圆形软组织肿块、界清,邻近结构受推移,其内可见特征性"树枝状"钙化、可有囊变,伴周围多发卫星灶,强化后肿块及卫星灶均呈持续性强化,肿块可见供血动脉或引流静脉。Objective To discuss the CT manifestation of retroperitoneal Castleman＇s disease, in order to improve the di- agnosis level. Methods 4 cases retroperitoneal Castleman＇s disease CT data were retrospectively analyzed. Results 2 cases h）- cated in right retroperitoneal, 1 case in left and 1 case in the root of mesenteric. 4 case appeared multiple and the boundary is clear, 1 case appeared necrosis, 4 cases appearedcalcification. The feeding artery and venous drainage were founded. Pathological diagnosis：Hyaline Vascular（ 3/4）, Plasmaeell（1/4）. Conclusion The necrosis, calcification and multiple satellites were showcd in or around the tumor. The lesions were homogenous enhancement after contrast agent injectior. Large feeding artery artery and venous drainage of tumor arised from the abdominal aorta and superior mesenteric vein.

关 键 词：CASTLEMAN病 腹膜后肿瘤 体层摄影 X线计算机 病理学 

分 类 号：R735.4[医药卫生—肿瘤] R730.44[医药卫生—临床医学]