腹部透明血管型Castleman病的CT表现  

CT features of hyaline-vascular Castleman’s disease in the abdomen

作　　者：李小荣[1] 钱民[1] 李向东[1] 彭光明[1] 何小华[1] LI Xiaorong;QIAN Min;LI Xiangdong;PENG Guangming;HE Xiaohua(Department of Radiology,Guangzhou Military Region General Hospital,Guangzhou 510010,China)

机构地区：[1]广州军区广州总医院放射科,广东广州510010

出　　处：《实用放射学杂志》2018年第9期1390-1392,共3页Journal of Practical Radiology

摘　　要：目的 探讨腹部透明血管型Castleman病（CD）的CT表现。方法 收集8例经病理证实的腹部透明血管型CD，回顾性分析其CT表现及其病理所见。结果 所有巨淋巴结增生病例的病理类型均为透明血管型, 1例位于小肠系膜，4例位于腹膜后，3例位于腹腔。所有病灶均表现为边缘规整、密度均匀的类圆形肿块，增强扫描均表现为接近邻近主动脉程度的明显均匀强化，平扫可见钙化5例，灶周可见多发周围卫星结节者1例，粗大血管者2例。结论 腹部透明血管型CD的CT表现与病理表现相关，主要的影像学特点为边缘清楚类圆形肿块及增强后接近主动脉程度的明显强化。Objective To discuss the CT features of hyaline-vascular Castleman＇s disease（CD） in the abdomen.Methods 8 patients with pathologically proven hyaline vascular CD in the abdomen were included in this study. CT and pathologic findings were reviewed retrospectively.Results The pathological subtypes of all the eight cases were hyaline-vascular. Among the eight cases, 1 located in mesentery, 4 in retroperitoneum and 3 in abdominal cavity.All cases showed a well defined and oval mass with homogeneous attenuation,all of the masses showed marked enhancement similar as the enhancement degree of the near large arteries, intratumoral calcification were found in 5 cases, mass surrounded by small satellite nodules were found in 1 case and enlarged vessels near the mass were also observed in 2 cases.Conclusion CT imaging findings of hyaline-vascular CD in the abdomen are closely related to the pathological features.And the most important CT features of hyaline vascular type of CD was round-like mass with clear edge and the marked enhancement of the mass was similar as the enhancement degree of the near large arteries.

关 键 词：腹部 透明血管型 CASTLEMAN病 计算机体层成像 

分 类 号：R551.2[医药卫生—血液循环系统疾病] R814.42[医药卫生—内科学]