背景:Castleman病,由Castleman博士于1954年首次描述,相对罕见,代表了一系列具有活检特征性组织学特征的异质性淋巴增生性疾病。根据身体位置和组织学对其进行分类,并具有可变的临床表现。它的治疗取决于亚型,在文献中很少讨论Castleman病的术前栓塞。
方法:一名22岁的男子出现在耳鼻喉科诊所,有四周的颈部左侧肿块病史,最初与头痛有关,发烧,疲劳2天。造影剂断层扫描和磁共振成像显示,位于颈部左侧2和3级的高血管肿块,来自颈外动脉的供血血管。术前栓塞计划;然而,神经介入医生认为这是一个不需要栓塞的淋巴结.进行手术切除,手术时间和出血相对增加。活检证实为透明血管型Castleman病。
结论:我们回顾了CD的循证管理。我们回顾了有关术前栓塞在治疗中的作用的现有文献。
结论:根据已发表的文章和该疾病的高血管性质,我们认为术前栓塞有助于降低发病率.
BACKGROUND: Castleman disease, which was first described by Dr. Castleman in 1954, is relatively rare and represents a spectrum of heterogeneous
lymphoproliferative disorders with characteristic histological features on biopsy. It is classified based on body location and histology with variable clinical presentations. Its treatment depends on the subtype, and preoperative embolization for Castleman disease has rarely been discussed in the literature.
METHODS: A 22-year old man presented to the ENT clinic with a four-week history of a mass on the left side of the neck, which was associated initially with headache, fever, and fatigue for 2 days. Contrast tomography and magnetic resonance imaging revealed a hypervascular mass located at levels two and three of the left side of the neck with feeding vessels from the external carotid artery. Preoperative embolization was planned; however, the neurointerventionist considered it a lymph node that did not need embolization. Surgical excision was performed with relatively increased operative time and bleeding. A biopsy confirmed a hyaline-vascular type Castleman disease.
CONCLUSIONS: We reviewed the evidence-based management of CD. We reviewed the available literature on the role of preoperative embolization in management.
CONCLUSIONS: Based on published articles and the hypervascular nature of the disease, we believe that preoperative embolization helps decrease morbidity.