颈部Castleman 病的诊断和治疗
| 作者: |
1周非,
1易恩欢,
1杨明,
1钟启宝
1 长沙市第三医院耳鼻咽喉科，长沙 410015 |
| 通讯: |
周非
Email: cszhoufei@126.com |
摘要
目的：总结颈部Castleman病(Castleman’s disease，CD)的临床与病理特征，探讨其诊断与治疗方法。方法：回顾性分析长沙市第三医院2000年至2012年确诊的5例颈部CD患者的临床资料，包括临床特点、病理诊断、治疗和预后。结果：5例均经病理诊断为单中心型透明血管型CD。均行手术切除，随访12个月以上，仅1例在术后14个月复发，再次行手术切除，随访62个月无复发。结论：颈部CD多为单中心型透明血管型，病理切片检查是其主要诊断方法，手术切除是有效的治疗方法。
关键词：
Castleman病；颈部；诊断；治疗
Diagnosis and treatment for Castleman’s disease in the neck
CorrespondingAuthor: ZHOU Fei Email: cszhoufei@126.com
Abstract
Objective: To determine the diagnostic and treatment strategies for Castleman disease (CD) through analysis of the clinical and pathological features in the neck. Methods: We retrospectively analyzed the clinical features of 5 patients of CD in the neck from 2000 to 2012 in the Third Hospital of Changsha. Results: Five patients were diagnosed as unicentric CD of hyaline-vascular type. They were performed complete surgical resection. One patient suffered mass recurrence in the neck 14 months after surgery but no recurrence was seen during the follow-up 62 months after the mass resection again. Conclusion: CD in neck is often unicentric and hyaline-vascular type and can be diagnosed by pathological examination. Surgical resection is effective.