| 引用本文： |
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罗洁,周崧雯,郑卉,周彩存.Castleman病7例临床分析[J].同济大学学报（医学版）,2007,(6):52-55. [点击复制]
- .Clinical analysis of 7 cases of Castleman disease[J].同济大学学报（医学版）,2007,(6):52-55. [点击复制]
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| 摘要: |
| 目的分析Castleman病(Castleman disease,CD)的临床特点。方法收集Castleman病7例,男性4例,女性3例,中位年龄48岁,局灶型5例,弥漫型2例,均经病理证实。回顾性分析其临床特征。结果7例CD中2例无任何症状;胸部X线上3例表现为纵隔内软组织肿块,强化明显,4例表现为肺内小结节;肺扫描3例阴性,4例阳性;气管镜检1例管腔呈外压性狭窄;5例局灶型CD手术治疗效果好,2例弥漫型CD疗效欠佳;术前均未明确诊断,分别误诊为肺癌、肺结核、结节病等。结论Castleman病临床表现复杂,局灶型多表现为强化明显的纵隔内肿块,弥漫型影像学缺乏特征性,术前极易误诊,应争取早日手术活检。 |
| 关键词: 巨大淋巴结增生症,影像学特征,手术治疗 |
| DOI： |
| 修订日期：2007-07-06 |
| 基金项目: |
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| Clinical analysis of 7 cases of Castleman disease |
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| Abstract: |
| Objective To review the clinical characteristics of Castleman disease(CD).Methods Seven patients including 4 males and 3 females with a mean age of 48 years were proved to be CD by pathology.All the patients might be divided into localized type group(n=5) |
| Key words: giant lymph node hyperplasia,image characteristics,operation treatment |
