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腹膜后局限型Castleman病的CT表现(附2例报道)
引用本文:姚文君,郑穗生,杨硕.腹膜后局限型Castleman病的CT表现(附2例报道)[J].安徽医药,2012,16(7):951-952.
作者姓名:姚文君  郑穗生  杨硕
作者单位:安徽医科大学第二附属医院放射科,安徽,合肥,230061;安徽省精神卫生中心放射科,安徽,合肥,230022
摘    要:目的探讨腹膜后局限型Castleman病的CT表现,进一步提高临床及影像对该病的认识。方法分析该院收治的2例腹膜后局限型Castleman病的CT特点,并结合有关文献进行分析。结果 2例腹膜后局限型Castleman病均为透明血管型,CT平扫与肌肉相比呈等密度;动态增强CT扫描,多数肿块动脉期明显强化,在延迟期均表现为持续强化,强化程度邻近动脉相仿。结论腹膜后Castleman病较为少见,但CT表现具有一定特征性,应提高对该病的认识,避免误诊。

关 键 词:Castleman病  局限型  后腹膜  计算机体层扫描

CT Features of retroperitoneal circumscribed Castleman's Disease (2 Cases Report)
YAO Wen-jun , ZHENG Sui-sheng , YANG Shuo.CT Features of retroperitoneal circumscribed Castleman's Disease (2 Cases Report)[J].Anhui Medical and Pharmaceutical Journal,2012,16(7):951-952.
Authors:YAO Wen-jun  ZHENG Sui-sheng  YANG Shuo
Institution:1. Dept of Radiology, The Second Affiliated Hospital of Anhui Medical University,Hefei,Anhui 230061 ,China; 2. Dept of Radiology ,Anhui Provincial Mental Health Centre, Hefei ,Anhui 230022, China)
Abstract:Objective To analyze the CT findings of Castleman's disease to improve the diagnosis. Methods CT imagings of two patients with Castleman's disease proved by surgery pathology were retrospectively analyzed combined with the relative literatures. Results Two cases with local distribution were hyaline vascular subtype, which showed as homogeneous softmasses with iso attenuation to muscle on plain CT images. On dynamic contrastCT images, most of the masses showed marked enhancement at arterial and delay phase. Conclusion CT findings of Castleman disease are closely associated with its pathology. Localized type ( hyaline vascular type) of Castleman disease have typical CT signs.
Keywords:Castleman disease  circumscribed  retroperitoneal  computerized tomoscanning
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