Contrast-Enhanced Ultrasound in the Diagnosis of Parotid Gland Castleman Disease in a Child.

IF 1.3 4区 医学 Q3 ACOUSTICS
Sruthilatha Sakthi Velavan, Shanelle De Lancy, Diane W Chen, Boaz Karmazyn
{"title":"Contrast-Enhanced Ultrasound in the Diagnosis of Parotid Gland Castleman Disease in a Child.","authors":"Sruthilatha Sakthi Velavan, Shanelle De Lancy, Diane W Chen, Boaz Karmazyn","doi":"10.1002/jcu.70445","DOIUrl":null,"url":null,"abstract":"<p><p>Castleman disease is a rare lymphoproliferative disorder that infrequently involves the parotid gland. We report a 16-year-old girl with a 3-year history of slowly progressive, painless right cheek swelling. CT and MRI showed an avidly enhancing, markedly T2-hyperintense parotid lesion, suggesting a vascular malformation; fine-needle aspiration yielded reactive lymphoid tissue. Contrast-enhanced ultrasound (CEUS) demonstrated rapid, intense, homogeneous enhancement, confirming a hypervascular solid mass rather than a vascular malformation and raising suspicion for Castleman disease. Superficial parotidectomy confirmed unicentric hyaline-vascular Castleman disease. CEUS aided differentiation of a hypervascular solid lesion from a vascular malformation and narrowed the differential.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3000,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Ultrasound","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/jcu.70445","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ACOUSTICS","Score":null,"Total":0}
引用次数: 0

Abstract

Castleman disease is a rare lymphoproliferative disorder that infrequently involves the parotid gland. We report a 16-year-old girl with a 3-year history of slowly progressive, painless right cheek swelling. CT and MRI showed an avidly enhancing, markedly T2-hyperintense parotid lesion, suggesting a vascular malformation; fine-needle aspiration yielded reactive lymphoid tissue. Contrast-enhanced ultrasound (CEUS) demonstrated rapid, intense, homogeneous enhancement, confirming a hypervascular solid mass rather than a vascular malformation and raising suspicion for Castleman disease. Superficial parotidectomy confirmed unicentric hyaline-vascular Castleman disease. CEUS aided differentiation of a hypervascular solid lesion from a vascular malformation and narrowed the differential.

超声造影对儿童腮腺Castleman病的诊断价值。
Castleman病是一种罕见的淋巴细胞增生性疾病,很少累及腮腺。我们报告一个16岁的女孩,3年的历史缓慢进展,无痛右脸颊肿胀。CT、MRI示腮腺明显强化t2高信号病变,提示血管畸形;细针吸出反应性淋巴组织。超声造影(CEUS)显示快速、强烈、均匀的强化,证实了高血管实性肿块,而不是血管畸形,并引起对Castleman病的怀疑。腮腺浅表切除术证实为单中心透明血管Castleman病。超声造影有助于将高血管实性病变与血管畸形区分开来,并缩小了两者的区别。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
1.90
自引率
0.00%
发文量
248
审稿时长
6 months
期刊介绍: The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography. The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents. JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信
小红书