多中心型Castleman病伴嗜酸细胞升高1例报道并文献复习

Multicentric Castleman’s disease accompanying eosinophilia:A case report and review of literature

  • 摘要: 目的 了解Castleman病(Castleman's Disease,CD)的临床特征并提高诊断和治疗水平。方法 报道1例以嗜酸细胞升高为主要表现的CD的临床资料并结合文献复习,为其诊断和鉴别诊断提供新思路。结果 患者男性,57岁,体检发现嗜酸细胞增多;双侧颈部、腋窝、腹股沟及腹膜后多个淋巴结肿大;淋巴结活检病理:血管滤泡性淋巴结组织增生,浆细胞型。结论 临床表现多样,组织病理学检查或淋巴结活检有益于早期诊断,最佳治疗效果基于组织病理学和临床分类。

     

    Abstract: Objective To improve the diagnosis and treatment of Castleman’s disease(CD) by studying its clinical characteristicsMethods A case of CD mainly manifested as eosinophilia was reported and its related literature was reviewed in order to provide some new ideas for its diagnosis and differential diagnosisResults The patient was a 57-year old male.Physical examination showed that he had eosinophilia,enlargement of lymph nodes in two sides of neck,axillary fossa,groin,and retroperitoneum.Lymph node biopsy showed follicular proliferation of lymph node tissue and plasma cellsConclusion CD has different clinical manifestations.Histopathological examination and lymph node biopsy contribute to its early diagnosis.The best therapeutic effect of CD can be achieved based on its histopathological and clinical classification.

     

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