<trans-title xml:lang="en"></trans>_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

于宏（女） ,  于宏 , 吕超

Corresponding author：

于宏, Email: Yuhong1973@163.com

Keywords：

Castleman病; 胰腺; 文献复习

DOI：

10.7507/1007-9424.201607076

Video：

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目的总结 1 例胰腺 Castleman 病患者的临床资料，并复习以往文献，总结该病的流行病学特点及诊治体会。方法回顾性分析 2016 年 1 月笔者所在医院收治的 1 例胰腺 Castleman 病患者的临床资料，进行文献复习及总结。结果该例患者无特殊临床表现，术前行 CT 检查发现胰腺占位，行手术切除，术后病理学诊断为胰腺 Castleman 病。术后 1 个月复查CT未见肿瘤复发及转移，已获访 6 个月，患者恢复良好。经查阅文献，共检索出胰腺 Castleman 病 32 例，男 11 例，女 21 例；年龄 23～74 岁，平均年龄为 46 岁；临床表现仅为腹部疼痛 7 例，腹痛伴发热 1 例，腹痛伴面部、双下肢水肿 1 例，腹痛伴乏力 1 例，腹胀 1 例，背部疼痛 1 例，颈部淋巴结肿大 1 例，吞咽困难 1 例，发热、乏力、体质量下降 1 例，无明显临床表现 17 例；肿瘤位于胰腺头部 9 例，胰腺颈部 3 例，胰腺体、尾部 16 例，胰周 4 例；肿瘤直径最小 1.5 cm，最大 7.2 cm；病理学分型为透明血管型（hyaline vascular，HV）19 例，浆细胞型（plasma cell，PC）4 例，混合型（mixed/HV-PC，MV）4 例，未给出明确病理分型 5 例。结论胰腺 Castleman 病是少见的淋巴组织增生性疾病，通常无特异临床表现，影像学检查也无特异性，目前仅能通过病理组织学检查确诊。胰腺 Castleman 病的治疗以手术为主，疗效较好。

Citation： 于宏（女）, 于宏, 吕超. . CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2017, 24(3): 366-369. doi: 10.7507/1007-9424.201607076 Copy

1.	Erkan N, Yildirim M, Selek E,et al. Peripancreatic Castleman disease. JOP, 2004, 5(6): 491-494.
2.	Castleman B, Iverson L, Menendez VP. Localized mediatinal lymph-node hyperplasia resembling thymoma. Cancer, 1956, 9(4): 822-830.
3.	Lepke RA, Pagani JJ. Pancreatic Castleman disease simulating pancreatic carcinoma on computed tomography. J Comput Assist Tomogr, 1982, 6(6): 1193-1195.
4.	LeVan TA, Clifford S, Staren ED. Castleman’s tumor masquerading as a pancreatic neoplasm. Surgery, 1989, 106(5): 884-887.
5.	Corbisier F, Ollier JC, Adloff M. Pancreatic localization of a Castleman’s tumour. Acta Chir Belg, 1993, 93(5): 227-229.
6.	Baikovas S, Glenn D, Stanton A,et al. Castleman’s disease: an unusual cause of a peri-pancreatic hilar mass. Aust N Z J Surg, 1994, 64(3): 219-221.
7.	Chaulin B, Pontais C, Laurent F,et al. Pancreatic Castleman disease: CT findings. Abdom Imaging, 1994, 19(2): 160-161.
8.	马刚, 郭克建, 郭仁宣, 等. 胰腺Castleman’s 病一例. 中华普通外科杂志, 2001, 16(3): 35.
9.	Soler R, Rodríguez E, Bello MJ,et al. Pancreatic Castleman’s disease: MR findings. Eur Radiol, 2003, 13 Suppl 4: L48-L50.
10.	Su IH, Wan YL, Pan KT,et al. Symptomatic mesentery Castleman disease mimicking a pancreatic tumor. Clin Imaging, 2005, 29(5): 348-351.
11.	Goetze O, Banasch M, Junker K,et al. Unicentric Castleman’s disease of the pancreas with massive central calcification. World J Gastroenterol, 2005, 11(42): 6725-6727.
12.	Wang H, Wieczorek RL, Zenilman ME,et al. Castleman’s disease in the head of the pancreas: report of a rare clinical entity and current perspective on diagnosis, treatment, and outcome. World J Surg Oncol, 2007, 5: 133.
13.	Yilmaz R, Ersin S, Makay O,et al. Pancreatic Castleman’s tumor: an unusual case. Acta Chir Belg, 2004, 104(3): 354-356.
14.	Tunru-Dinh VW, Ghani A, Tom YD. Rare case of Castleman disease involving the pancreas. Am Surg, 2007, 73(12): 1284-1287.
15.	Mangini M, Aiani L, Bertolotti E,et al. Parapancreatic Castleman disease: contrast-enhanced sonography and CT features. J Clin Ultrasound, 2007, 35(4): 207-211.
16.	Wasielica-Berger J, Kaniewska M, Cepowicz D,et al. Castleman disease imitating pancreatic tumor presenting with pericardial and pleural effusion. Pancreas, 2007, 35(4): 382-384.
17.	Campra D, Farina EC, Resegotti A.et al. Castleman disease in differential diagnosis of a pancreatic mass. Eur J Surg, 2002, 168(12): 744-746.
18.	Rhee KH, Lee SS, Huh JR. Endoscopic ultrasonography-guided trucut biopsy for the preoperative diagnosis of peripancreatic Castleman’s disease: a case report. World J Gastroenterol, 2008, 14(13): 2115-2117.
19.	Talarico F, Negri L, Iusco D,et al. Unicentric Castleman’s disease in peripancreatic tissue: case report and review of the literature. G Chir, 2008, 29(4): 141-144.
20.	覃绍超. 胰腺Castleman病1例. 中国临床医学影像杂志, 2010, 21(4): 250.
21.	郭静会, 张顺财, 徐晨, 等. 胰腺局限性Castleman’s病1例. 胃肠病学和肝病学杂志, 2008, 17(9): 774-775.
22.	Charalabopoulos A, Misiakos EP, Foukas P,et al. Localized peripancreatic plasma cell Castleman disease. Am J Surg, 2010, 199(5): e51-e53.
23.	汪洵理, 田伯乐, 张懿, 等. 胰腺部位的Castleman病1例. 中华内分泌外科杂志, 2011, 5(1): 68-69.
24.	Khashab MA, Canto MI, Singh VK,et al. A rare case of peripancreatic Castleman’s disease diagnosed preoperatively by endoscopic ultrasound-guided fine needle aspiration. Endoscopy, 2011, 43 Suppl 2: E128-E130.
25.	杨光, 刘佳, 邢昌赢, 等. Castleman病并发膜性肾病一例. 中华肾脏病杂志, 2011, 27(7): 550.
26.	Guo H, Shen Y, Wang WL,et al. Castleman disease mimicked pancreatic carcinoma: report of two cases. World J Surg Oncol, 2012, 10: 154.
27.	Apodaca-Torrez FR, Filho BH, Beron RI,et al. Castleman’s disease mimetizing pancreatic tumor. JOP, 2012, 13(1): 94-97.
28.	高瞻, 查斌山, 朱化刚. 胰腺旁Castleman病一例. 中华普通外科杂志, 2013, 28(1): 23.
29.	Fu L, Wang XL, Babu SR,et al. Pancreatic Castleman’s disease: studies of three cases and a cumulative review of the literature. Indian J Surg, 2013, 75(1): 34-38.
30.	Cecka F, Ferko A, Jon B,et al. Pancreatic Castleman disease treated with laparoscopic distal pancreatectomy. Hepatobiliary Pancreat Dis Int, 2013, 12(3): 332-334.
31.	刘方方, 刘凤芹, 方志欣. 胰头部局限性Castleman病超声表现1例. 中国超声医学杂志, 2014, 30(5): 464.
32.	Matsumoto T , Okuwaki K, Kida M,et al. A patient with pancreatic Castleman’s disease arising around the main pancreatic duct. Intern Med, 2015, 54(16): 2007-2012.
33.	Munshi N, Mehra M, van de Velde H,et al. Use of a claims database to characterize and estimate the incidence of Castleman’s disease. Leuk Lymphoma, 2015, 56(5): 1252-1260.
34.	刘炜炜, 葛春林. Castleman病. 中国普外基础与临床杂志, 2010, 17(8): 868-871.
35.	张仪, 李甘地, 刘卫平, 等. Castleman病的病因和发病机制研究进展. 中华病理学杂志, 2005, 34(12): 812-815.
36.	González García A, Moreno Cobo MÁ, Patier de la Peña JL. Current diagnosis and treatment of Castleman’s disease. Rev Clin Esp, 2016, 216(3): 146-156.
37.	王仁贵, 霍萌, 王丹丹, 等. 胸腹部局限性Castleman病的CT特征分析. 中华放射学杂志, 2010, 34(11): 1161-1166.
38.	韩潇, 周道斌. Castleman病的发病机制和治疗进展. 中国医学科学院学报, 2009, 31(5): 639-643.

1. Erkan N, Yildirim M, Selek E,et al. Peripancreatic Castleman disease. JOP, 2004, 5(6): 491-494.
2. Castleman B, Iverson L, Menendez VP. Localized mediatinal lymph-node hyperplasia resembling thymoma. Cancer, 1956, 9(4): 822-830.
3. Lepke RA, Pagani JJ. Pancreatic Castleman disease simulating pancreatic carcinoma on computed tomography. J Comput Assist Tomogr, 1982, 6(6): 1193-1195.
4. LeVan TA, Clifford S, Staren ED. Castleman’s tumor masquerading as a pancreatic neoplasm. Surgery, 1989, 106(5): 884-887.
5. Corbisier F, Ollier JC, Adloff M. Pancreatic localization of a Castleman’s tumour. Acta Chir Belg, 1993, 93(5): 227-229.
6. Baikovas S, Glenn D, Stanton A,et al. Castleman’s disease: an unusual cause of a peri-pancreatic hilar mass. Aust N Z J Surg, 1994, 64(3): 219-221.
7. Chaulin B, Pontais C, Laurent F,et al. Pancreatic Castleman disease: CT findings. Abdom Imaging, 1994, 19(2): 160-161.
8. 马刚, 郭克建, 郭仁宣, 等. 胰腺Castleman’s 病一例. 中华普通外科杂志, 2001, 16(3): 35.
9. Soler R, Rodríguez E, Bello MJ,et al. Pancreatic Castleman’s disease: MR findings. Eur Radiol, 2003, 13 Suppl 4: L48-L50.
10. Su IH, Wan YL, Pan KT,et al. Symptomatic mesentery Castleman disease mimicking a pancreatic tumor. Clin Imaging, 2005, 29(5): 348-351.
11. Goetze O, Banasch M, Junker K,et al. Unicentric Castleman’s disease of the pancreas with massive central calcification. World J Gastroenterol, 2005, 11(42): 6725-6727.
12. Wang H, Wieczorek RL, Zenilman ME,et al. Castleman’s disease in the head of the pancreas: report of a rare clinical entity and current perspective on diagnosis, treatment, and outcome. World J Surg Oncol, 2007, 5: 133.
13. Yilmaz R, Ersin S, Makay O,et al. Pancreatic Castleman’s tumor: an unusual case. Acta Chir Belg, 2004, 104(3): 354-356.
14. Tunru-Dinh VW, Ghani A, Tom YD. Rare case of Castleman disease involving the pancreas. Am Surg, 2007, 73(12): 1284-1287.
15. Mangini M, Aiani L, Bertolotti E,et al. Parapancreatic Castleman disease: contrast-enhanced sonography and CT features. J Clin Ultrasound, 2007, 35(4): 207-211.
16. Wasielica-Berger J, Kaniewska M, Cepowicz D,et al. Castleman disease imitating pancreatic tumor presenting with pericardial and pleural effusion. Pancreas, 2007, 35(4): 382-384.
17. Campra D, Farina EC, Resegotti A.et al. Castleman disease in differential diagnosis of a pancreatic mass. Eur J Surg, 2002, 168(12): 744-746.
18. Rhee KH, Lee SS, Huh JR. Endoscopic ultrasonography-guided trucut biopsy for the preoperative diagnosis of peripancreatic Castleman’s disease: a case report. World J Gastroenterol, 2008, 14(13): 2115-2117.
19. Talarico F, Negri L, Iusco D,et al. Unicentric Castleman’s disease in peripancreatic tissue: case report and review of the literature. G Chir, 2008, 29(4): 141-144.
20. 覃绍超. 胰腺Castleman病1例. 中国临床医学影像杂志, 2010, 21(4): 250.
21. 郭静会, 张顺财, 徐晨, 等. 胰腺局限性Castleman’s病1例. 胃肠病学和肝病学杂志, 2008, 17(9): 774-775.
22. Charalabopoulos A, Misiakos EP, Foukas P,et al. Localized peripancreatic plasma cell Castleman disease. Am J Surg, 2010, 199(5): e51-e53.
23. 汪洵理, 田伯乐, 张懿, 等. 胰腺部位的Castleman病1例. 中华内分泌外科杂志, 2011, 5(1): 68-69.
24. Khashab MA, Canto MI, Singh VK,et al. A rare case of peripancreatic Castleman’s disease diagnosed preoperatively by endoscopic ultrasound-guided fine needle aspiration. Endoscopy, 2011, 43 Suppl 2: E128-E130.
25. 杨光, 刘佳, 邢昌赢, 等. Castleman病并发膜性肾病一例. 中华肾脏病杂志, 2011, 27(7): 550.
26. Guo H, Shen Y, Wang WL,et al. Castleman disease mimicked pancreatic carcinoma: report of two cases. World J Surg Oncol, 2012, 10: 154.
27. Apodaca-Torrez FR, Filho BH, Beron RI,et al. Castleman’s disease mimetizing pancreatic tumor. JOP, 2012, 13(1): 94-97.
28. 高瞻, 查斌山, 朱化刚. 胰腺旁Castleman病一例. 中华普通外科杂志, 2013, 28(1): 23.
29. Fu L, Wang XL, Babu SR,et al. Pancreatic Castleman’s disease: studies of three cases and a cumulative review of the literature. Indian J Surg, 2013, 75(1): 34-38.
30. Cecka F, Ferko A, Jon B,et al. Pancreatic Castleman disease treated with laparoscopic distal pancreatectomy. Hepatobiliary Pancreat Dis Int, 2013, 12(3): 332-334.
31. 刘方方, 刘凤芹, 方志欣. 胰头部局限性Castleman病超声表现1例. 中国超声医学杂志, 2014, 30(5): 464.
32. Matsumoto T , Okuwaki K, Kida M,et al. A patient with pancreatic Castleman’s disease arising around the main pancreatic duct. Intern Med, 2015, 54(16): 2007-2012.
33. Munshi N, Mehra M, van de Velde H,et al. Use of a claims database to characterize and estimate the incidence of Castleman’s disease. Leuk Lymphoma, 2015, 56(5): 1252-1260.
34. 刘炜炜, 葛春林. Castleman病. 中国普外基础与临床杂志, 2010, 17(8): 868-871.
35. 张仪, 李甘地, 刘卫平, 等. Castleman病的病因和发病机制研究进展. 中华病理学杂志, 2005, 34(12): 812-815.
36. González García A, Moreno Cobo MÁ, Patier de la Peña JL. Current diagnosis and treatment of Castleman’s disease. Rev Clin Esp, 2016, 216(3): 146-156.
37. 王仁贵, 霍萌, 王丹丹, 等. 胸腹部局限性Castleman病的CT特征分析. 中华放射学杂志, 2010, 34(11): 1161-1166.
38. 韩潇, 周道斌. Castleman病的发病机制和治疗进展. 中国医学科学院学报, 2009, 31(5): 639-643.

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