颈部Castleman病临床报道暨文献回顾  

Castleman disease on neck: clinical report and literature review

作　　者：热娜古孜.阿不都米吉提 李世豪[2] 黄子贤[2] 秦泽曼 黄志权[2] Abdumijiti·Renaguzi;LI Shi-hao;HUANG Zi-xian;QIN Ze-man;HUANG Zhi-quan(Department of Oral & Maxillofacial Surgery, the First People..s Hospital of Kashi, Kashi 844000, China;Department of Oral & Maxillofacial Surgery, Sun Yat.sen Memorial Hospital, SUN Yatsen University, Guangzhou 510120 , China)

机构地区：[1]喀什地区第一人民医院口腔颌面外科,新疆维吾尔自治区喀什844000 [2]中山大学孙逸仙纪念医院口腔颌面外科,广东广州510120

出　　处：《口腔疾病防治》2017年第2期110-114,共5页Journal of Prevention and Treatment for Stomatological Diseases

基　　金：广东省自然科学基金(2016A030313348);中央高校基本科研业务费专项资金(13ykpy26)

摘　　要：Castleman病(Castlemans disease,CD)是一种相当罕见和复杂的疾病,本文通过对1例40岁女性发生于右侧颈部胸锁乳突肌内侧Castleman病例的诊治,并复习相关文献,对该病的发病率、临床表现、诊断与鉴别诊断、治疗及预后作回顾性报道。CD发病率较低,既往未见临床统计发病率,并且缺乏特征性的临床表现。临床上分两型:局灶型和多中心型,两者诊断均较为困难,术前CT检查对诊断本病有一定帮助,组织病理学检查或淋巴结活检有益于早期诊断。治疗效果基于组织病理学检查和临床分类。预后因临床分型有所不同,局灶型预后较好,而多中心型预后较差,两者均存在一定复发率。Castleman disease is a rare and complicated disease.A case of Castleman disease(CD)in a40?year?oldwoman on the neck was reported and literature review was made to understand the occurrence,clinical characteristics,diagnosis and differential diagnosis,treatment,and prognosis of Castleman disease.Because of the rarity of CD,its oc?currence in the general population and the typical clinical manifestations are still lacked.There are two types of CD,namely localized CD and multicentric CD,both of them are not easy to be diagnosised.CT scans in preoperative is help?ful for the clinical diagnosis,while histopathological examination and lymph node biopsy are beneficial for the early di?agnosis.The treatment result is based on the histopathological examination and lymph node biopsy.The prognosis is dif?ferent with the type of CD.For the localized CD,the prognosis is usually good,while for the multicentric CD is bad.Both of localized CD and multicentric CD have a certain reoccurrence rate.

关 键 词：CASTLEMAN病 临床表现 诊断 鉴别诊断 预后 

分 类 号：R739.8[医药卫生—肿瘤]