7例头颈部Castleman病超声特征分析  

Ultrasonographic features of Castleman disease in the head and neck:a report of 7 cases

作　　者：周辉红[1] 陈倩倩[1] 袁方[1] 孙晶晶[2] 田臻[2] 熊屏[1] ZHOU Hui-hong;CHEN Qian-qian;YUAN Fang;SUN Jing-jing;TIAN Zhen;XIONG Ping(Department of Ultrasound Medicine,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine.Shanghai 200011,China;Department of Oral Pathology,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine.Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院超声医学科,上海200011 [2]上海交通大学医学院附属第九人民医院口腔病理科,上海200011

出　　处：《上海口腔医学》2024年第3期328-331,共4页Shanghai Journal of Stomatology

摘　　要：目的:总结头颈部Castleman病(Castleman disease,CD)的超声特征,并阐明其诊断要点。方法:收集上海交通大学医学院附属第九人民医院经组织病理学证实的头颈部CD患者7例,对患者的临床特征和超声检查结果进行分析。结果:7例患者(男1例,女6例),平均诊断年龄31.4岁(7~60岁)。所有病例均为透明血管型CD。超声检查显示,3例(42.9%)病变位于腮腺,4例(57.1%)位于颈部。所有病灶均表现为孤立、边界清晰的实质性肿块,无钙化。1例(14.3%)回声强度为显著低回声,6例(85.7%)为低回声。7例患者中,4例(57.1%)为含有线性回声分隔的异质性肿块。彩色多普勒超声检查显示,所有病变的血管分布均呈混合模式。结论:头颈部CD通常表现为显著低回声或低回声病变,血流模式呈现混合型。肿瘤可能以肿块内线性回声分隔为特征。PURPOSE:To summarize the ultrasonographic features of head and neck Castleman disease(CD),and to clarify its diagnostic key points.METHODS:Seven patients with head and neck CD confirmed by histopathology were collected from Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine.The clinical features and ultrasound findings of the patients were evaluated.RESULTS:Of the 7 patients(1 male and 6 females),the mean age at diagnosis was 31.4 years(7-60 years).All the cases were hyaline vascular type.On ultrasound,3 lesions(42.9%)were located in the parotid gland,4 lesions(57.1%)in the neck.All the lesions presented as a solitary,well-defined and solid mass without calcification.The echogenicity was markedly hypoechoic in 1 case(14.3%)and hypoechoic in 6 cases(85.7%).Of the 7 CD cases,4 cases(57.1%)were heterogeneous masses with linear echogenic septa.All lesions had mixed pattern in vascularity on color Doppler sonography.CONCLUSIONS:Most CDs in the head and neck represent as a markedly hypoechoic or hypoechoic lesion with mixed pattern in vascularity.The neoplasm may be characterized by the presence of linear echogenic septa within the mass.

关 键 词：CASTLEMAN病 头颈部 超声特征 

分 类 号：R739.8[医药卫生—肿瘤]