[Ultrasonographic features of Castleman disease in the head and neck: a report of 7 cases].

Q4 Medicine

上海口腔医学 Pub Date : 2024-06-01

Hui-Hong Zhou, Qian-Qian Chen, Fang Yuan, Jing-Jing Sun, Zhen Tian, Ping Xiong

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引用次数: 0

Abstract

Purpose: To summarize the ultrasonographic features of head and neck Castleman disease (CD), and to clarify its diagnostic key points.

Methods: Seven patients with head and neck CD confirmed by histopathology were collected from Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. The clinical features and ultrasound findings of the patients were evaluated.

Results: Of the 7 patients (1 male and 6 females), the mean age at diagnosis was 31.4 years (7-60 years). All the cases were hyaline vascular type. On ultrasound, 3 lesions (42.9%) were located in the parotid gland, 4 lesions(57.1%) in the neck. All the lesions presented as a solitary, well-defined and solid mass without calcification. The echogenicity was markedly hypoechoic in 1 case(14.3%) and hypoechoic in 6 cases (85.7%). Of the 7 CD cases, 4 cases (57.1%) were heterogeneous masses with linear echogenic septa. All lesions had mixed pattern in vascularity on color Doppler sonography.

Conclusions: Most CDs in the head and neck represent as a markedly hypoechoic or hypoechoic lesion with mixed pattern in vascularity. The neoplasm may be characterized by the presence of linear echogenic septa within the mass.

本刊更多论文

[头颈部 Castleman 病的超声特征：7 例报告]。

目的：总结头颈部Castleman病（CD）的超声特征，明确其诊断要点：方法：选取上海交通大学医学院附属第九人民医院收治的7例经组织病理学证实的头颈部CD患者。结果：7 例患者（男性 1 例，女性 1 例）中，1 例经组织病理学证实为头颈部 CD：结果：7 名患者（1 男 6 女）中，确诊时的平均年龄为 31.4 岁（7-60 岁）。所有病例均为透明血管型。在超声检查中，3 个病灶（42.9%）位于腮腺，4 个病灶（57.1%）位于颈部。所有病变均为单发、界限清楚、无钙化的实性肿块。1例（14.3%）的回声呈明显低回声，6例（85.7%）呈低回声。在 7 例 CD 病例中，4 例（57.1%）为异型肿块，伴有线状回声间隔。在彩色多普勒超声检查中，所有病变的血管形态均为混合型：结论：头颈部的大多数 CD 表现为明显的低回声或高回声病变，血管呈混合型。肿瘤的特征可能是肿块内存在线状回声间隔。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

上海口腔医学 Medicine-Medicine (all)

CiteScore

0.30

自引率

0.00%

发文量

5299

期刊介绍： "Shanghai Journal of Stomatology (SJS)" is a comprehensive academic journal of stomatology directed by Shanghai Jiao Tong University and sponsored by the Ninth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine. The main columns include basic research, clinical research, column articles, clinical summaries, reviews, academic lectures, etc., which are suitable for reference by clinicians, scientific researchers and teaching personnel at all levels engaged in oral medicine.