Castleman病影像学表现与病理对照分析

发布时间：2018-04-14 22:24

本文选题：巨淋巴结增生 + 淋巴结　；参考：《第二军医大学学报》2015年10期

【摘要】：目的探讨Castleman病(CD)的影像学表现及其与临床和病理的联系。方法回顾性分析20例CD患者的影像学资料,并与临床和病理结果进行对比分析。所有患者均进行CT或MRI平扫和增强,CT检查12例,MRI检查8例。结果病变部位:6例位于颈部,6例位于腹腔,3例位于纵隔,2例位于腹膜后,2例多部位,1例位于左锁骨下。临床分型:单中心型17例,多中心型3例。病理分型:透明血管型16例,浆细胞型3例,混合型1例。平扫3例表现为浅分叶状,3例边界模糊,5例多发肿块,1例质地不均匀,其余肿块均表现为质地均匀、边界清楚光整的软组织块影。增强后19例表现为肿块显著或明显持续强化,1例轻度强化;14例均匀强化,6例不均匀强化;17例肿块周围可见供血血管。结论 CD的影像学表现与临床和病理分型密切相关,掌握其影像学表现有助于术前对病变的全面了解,从而初步判断病变的性质和制定合适的治疗方案。
[Abstract]:Objective to investigate the imaging features of Castleman disease and its relationship with clinical and pathological features.Methods the imaging data of 20 patients with CD were analyzed retrospectively and compared with the clinical and pathological results.All the patients underwent CT or MRI plain scan and enhanced CT in 8 cases.Results 6 cases were located in the neck, 6 cases were located in the abdominal cavity, 3 cases were located in the mediastinum, 2 cases were located in the posterior peritoneum of 2 cases, 1 case was located in the left subclavicular bone.Clinical classification: monocentric type in 17 cases, polycentric type in 3 cases.Pathological classification: transparent vascular type 16 cases, plasma cell type 3 cases, mixed type 1 case.Plain scan in 3 cases showed superficial lobular lesions in 3 cases, multiple masses in 5 cases and multiple masses in 5 cases. All the other masses showed homogeneous texture and clear and smooth margin of soft tissue mass.After enhancement, 19 cases showed marked or continuous enhancement of the mass in 1 case, mild enhancement in 14 cases, homogeneous enhancement in 6 cases, and heterogeneous enhancement in 17 cases. Blood supply vessels were found around the tumor in 17 cases.Conclusion the imaging findings of CD are closely related to clinical and pathological types. Mastering the imaging findings of CD is helpful to the comprehensive understanding of the lesions before operation, so as to preliminarily judge the nature of the lesions and make appropriate treatment plans.
【作者单位】：第二军医大学长海医院影像科;解放军411医院影像科;第二军医大学长海医院病理科;
【分类号】：R551.2;R816.3;R445.2

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