Retroperitoneal Giant Lymph Node Hyperplasia: A Report of One Case_West China Medical Journal

Authors：

HUANG Zhongli ¹ , ZHANG Peng ¹ , WEI Wuran ¹ , GONG Jing ² ,  SHI Ming ¹

1. Department of Urology; 2. Department of Pathology; West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

SHI Ming, Email: huangzhongli@189.cn

Keywords：

巨淋巴结增殖症; 诊断; 病理; 治疗

Video：

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目的　观察腹膜后巨淋巴结增殖症的治疗效果，探讨其临床表现、影像学特点、诊断、病理及治疗方法。方法　30岁女性患者1例，因反复腹泻、右上腹胀2个月余，发现右侧腹膜后肿物20 d，于2011年8月22日入院。患者在全麻下行腹膜后肿物切除术。手术3个月后，复查腹部CT、血常规、生化等检查。并结合文献进行综述。结果　手术过程顺利，完整切除肿物，术后病理检查示病变为巨淋巴结增殖症，透明血管型。术后3个月患者门诊随访，恢复良好，复查腹部CT未见肿物复发，血常规、生化等检查均无异常。结论　该病较为少见，病因尚不明确，确诊需依赖病理组织学活检，手术切除为首选治疗，且预后好。

Citation： HUANG Zhongli,ZHANG Peng,WEI Wuran,GONG Jing,SHI Ming. Retroperitoneal Giant Lymph Node Hyperplasia: A Report of One Case. West China Medical Journal, 2012, 27(6): 895-898. doi: Copy

1.	Castleman B, Iverson L, Menendez VP. Localized mediastinal lymphnode hyperplasia resembling thymoma[J]. Cancer, 1956, 9(4): 822-830.
2.	Yeh CM, Chou CM, Wong LC. Castleman’s disease mimicking intrapulmonary malignancy[J]. Ann Thorac Surg, 2007, 84(2): 6-7.
3.	Krawczun GA, Garcia Cde M, Ito K, et al. Castleman’s disease or angiofollicular hyperplasia as a solitary pulmonary nodule: case report[J]. J Bras Pneumol, 2007, 33(2): 226-228.
4.	Barrie JR, English JC, Muller N. Castleman’s disease of the lung: radiographic, high-resolution CT, and pathologic findings[J]. Am J Roentgenol, 1996, 166(5): 1055-1056.
5.	Awotedu AA, Otulana BA, Ukoli CO. Giant lymph node hyperplasia of the lung Castleman’s disease associated with recurrent pleural effusion[J]. Thorax, 1990, 45(10): 775-776.
6.	Rena O, Casadio C, Maggi G. Castleman’s disease:unusual intrathoracic Localization[J]. Eur J Cardiothorac Surg, 2001, 19(4)：519-521.
7.	Mcadams HP, Fishback NF, Templeton PA. Castleman disease of the thorax: radiologic features with clinical and histopathologic correlation [J]. Radiology, 1998, 209(1): 221-228.
8.	Newsomi-Davis T, Bower M, Wildfire A, et al. Resolution of AIDS-related Castlemans’disease with anti-CD20 monoclonal antibodies is associated with declining IL-6 and TNF-alpha levels[J]. Leuk Lymphoma, 2004, 45(9): 1939-1941.
9.	Pauwels P, Dalcin P, Vlasveld LT, et al. A chromosomal abnormality in hyalin vascular Castleman’s disease：evidence for clonal proliferation of dysplastic stromal cells[J]. Am J Surg Pathol, 2000, 24(6): 882-888.
10.	Nguyen DT, Diamond LW,et al. Castleman’s disease.Differences in Follicular dendritic network in the hyaline vascular and plasma cell variants[J]. Histopathology, 1994, 24(5): 437-443.
11.	Soulier J, Grollet L, Oksenhendler E, et al. Kaposi`s sarcoma-associated herpes virus-like DNA sequences in multicentric Castleman’s disease[J]. Blood, 1995, 86(4): 1276 -1280.
12.	Parravinci C, Corbellino M, Paulli M, et al. Expression of a virus-derived cytokine, KSHV vIL-6, in HIV-seronegative Castleman’s disease[J]. Am J Pathol, 1997, 151(6): 1517 -1522 .
13.	Lallemand F, Desire N, Rozenbaum W, et al. Quantitative analysis of human herpesvirus 8 viral load using a real-time PCR assay[J]. J C lin Microbiol, 2000, 38(4): 1404-1408.
14.	Jongsma TE, Verburg RJ, Geelhoed-Dui-Jvestijn PH. Castleman’s disease: a rare lymphoproliferative disorder[J]. Eur J Intern Med, 2007, 18(8): 87-89.
15.	Hatano K, Fujita S,Tsujimoto Y, et al. Rare case of the hyaline vascular Type of Castleman’s disease of the kidney[J]. Int J Urol, 2007, 14(12): 1098-1100.
16.	张晖, 俞清, 杜红, 等.Castleman病的影像学诊断[J]. 中华超声影像学杂志, 2005, 14(6): 441-444.
17.	周嘉慧, 曾蒙苏, 张雪梅. CT巨大淋巴结增生症的表现与分析[J].医学影像学杂志, 2006, 16(12): 1260-1262.
18.	游兴攀, 官彬, 唐勇, 等.巨淋巴结增生的CT、MRI表现[J].重庆医学, 2010, 39(7): 834-835, 838.
19.	时克伟, 王林省, 宋光义.巨淋巴结增生症的CT表现特征[J].济宁医学院学报, 2009, 32(3): 187-188.
20.	Herrada J, Cabanillas F, Rice L, et al. The clinical behavior of localized and multicentric Castleman disease[J]. Ann Intern Med, 1998, 128(8): 657-662.
21.	Zhu YC, Huang Y, Yao J, et al. A rare case of Castleman’s disease of plasma cell type within kidney[J]. Chin Med J, 2009, 122(19): 2396-2398.
22.	Okada S, Maeta H, Maeba T, et al. Castleman disease of the pararenal retroperitoneum: report of a case[J]. Surg Today, 1999, 29(2): 178-181.
23.	Chronowski GM, Ha CS, Wilder RB, et al.Treatment of unicentric and multicentric Castleman disease and the role of radiotherapy[J].Cancer, 2001, 92(3): 670-676.
24.	Cadeddu MO, Mammazza J, Schlachta CM, et al. Laparoscopic excision of retroperitoneal tumors: technique and review of the laparoscopic experience[J]. Surg Laparosc Endosc Percutan Tech, 2001, 11(2): 144-147.
25.	Dalpiaz O, Gidaro S, Lipsky K, et al. Case report: laparoscopic removal of 10-cm retroperitoneal liposarcoma[J]. J Endourol, 2007, 21(1): 83-84.
26.	Xia D, Wang S, Li QM, et al. Laparoscopic approach of Castleman’s disease in the pararenal retroperitoneum: report of two cases[J]. Chin Med J, 2010, 123(13): 1809-1811.
27.	王琳, 秦平, 侯明. 多中心性Castleman病3例[J]. 临床血液学杂志, 2004, 17(5): 307-308.

1. 　Castleman B, Iverson L, Menendez VP. Localized mediastinal lymphnode hyperplasia resembling thymoma[J]. Cancer, 1956, 9(4): 822-830.
2. 　Yeh CM, Chou CM, Wong LC. Castleman’s disease mimicking intrapulmonary malignancy[J]. Ann Thorac Surg, 2007, 84(2): 6-7.
3. 　Krawczun GA, Garcia Cde M, Ito K, et al. Castleman’s disease or angiofollicular hyperplasia as a solitary pulmonary nodule: case report[J]. J Bras Pneumol, 2007, 33(2): 226-228.
4. 　Barrie JR, English JC, Muller N. Castleman’s disease of the lung: radiographic, high-resolution CT, and pathologic findings[J]. Am J Roentgenol, 1996, 166(5): 1055-1056.
5. 　Awotedu AA, Otulana BA, Ukoli CO. Giant lymph node hyperplasia of the lung Castleman’s disease associated with recurrent pleural effusion[J]. Thorax, 1990, 45(10): 775-776.
6. 　Rena O, Casadio C, Maggi G. Castleman’s disease:unusual intrathoracic Localization[J]. Eur J Cardiothorac Surg, 2001, 19(4)：519-521.
7. 　Mcadams HP, Fishback NF, Templeton PA. Castleman disease of the thorax: radiologic features with clinical and histopathologic correlation [J]. Radiology, 1998, 209(1): 221-228.
8. 　Newsomi-Davis T, Bower M, Wildfire A, et al. Resolution of AIDS-related Castlemans’disease with anti-CD20 monoclonal antibodies is associated with declining IL-6 and TNF-alpha levels[J]. Leuk Lymphoma, 2004, 45(9): 1939-1941.
9. 　Pauwels P, Dalcin P, Vlasveld LT, et al. A chromosomal abnormality in hyalin vascular Castleman’s disease：evidence for clonal proliferation of dysplastic stromal cells[J]. Am J Surg Pathol, 2000, 24(6): 882-888.
10. 　Nguyen DT, Diamond LW,et al. Castleman’s disease.Differences in Follicular dendritic network in the hyaline vascular and plasma cell variants[J]. Histopathology, 1994, 24(5): 437-443.
11. 　Soulier J, Grollet L, Oksenhendler E, et al. Kaposi`s sarcoma-associated herpes virus-like DNA sequences in multicentric Castleman’s disease[J]. Blood, 1995, 86(4): 1276 -1280.
12. 　Parravinci C, Corbellino M, Paulli M, et al. Expression of a virus-derived cytokine, KSHV vIL-6, in HIV-seronegative Castleman’s disease[J]. Am J Pathol, 1997, 151(6): 1517 -1522 .
13. 　Lallemand F, Desire N, Rozenbaum W, et al. Quantitative analysis of human herpesvirus 8 viral load using a real-time PCR assay[J]. J C lin Microbiol, 2000, 38(4): 1404-1408.
14. 　Jongsma TE, Verburg RJ, Geelhoed-Dui-Jvestijn PH. Castleman’s disease: a rare lymphoproliferative disorder[J]. Eur J Intern Med, 2007, 18(8): 87-89.
15. 　Hatano K, Fujita S,Tsujimoto Y, et al. Rare case of the hyaline vascular Type of Castleman’s disease of the kidney[J]. Int J Urol, 2007, 14(12): 1098-1100.
16. 　张晖, 俞清, 杜红, 等.Castleman病的影像学诊断[J]. 中华超声影像学杂志, 2005, 14(6): 441-444.
17. 　周嘉慧, 曾蒙苏, 张雪梅. CT巨大淋巴结增生症的表现与分析[J].医学影像学杂志, 2006, 16(12): 1260-1262.
18. 　游兴攀, 官彬, 唐勇, 等.巨淋巴结增生的CT、MRI表现[J].重庆医学, 2010, 39(7): 834-835, 838.
19. 　时克伟, 王林省, 宋光义.巨淋巴结增生症的CT表现特征[J].济宁医学院学报, 2009, 32(3): 187-188.
20. 　Herrada J, Cabanillas F, Rice L, et al. The clinical behavior of localized and multicentric Castleman disease[J]. Ann Intern Med, 1998, 128(8): 657-662.
21. 　Zhu YC, Huang Y, Yao J, et al. A rare case of Castleman’s disease of plasma cell type within kidney[J]. Chin Med J, 2009, 122(19): 2396-2398.
22. 　Okada S, Maeta H, Maeba T, et al. Castleman disease of the pararenal retroperitoneum: report of a case[J]. Surg Today, 1999, 29(2): 178-181.
23. 　Chronowski GM, Ha CS, Wilder RB, et al.Treatment of unicentric and multicentric Castleman disease and the role of radiotherapy[J].Cancer, 2001, 92(3): 670-676.
24. 　Cadeddu MO, Mammazza J, Schlachta CM, et al. Laparoscopic excision of retroperitoneal tumors: technique and review of the laparoscopic experience[J]. Surg Laparosc Endosc Percutan Tech, 2001, 11(2): 144-147.
25. 　Dalpiaz O, Gidaro S, Lipsky K, et al. Case report: laparoscopic removal of 10-cm retroperitoneal liposarcoma[J]. J Endourol, 2007, 21(1): 83-84.
26. 　Xia D, Wang S, Li QM, et al. Laparoscopic approach of Castleman’s disease in the pararenal retroperitoneum: report of two cases[J]. Chin Med J, 2010, 123(13): 1809-1811.
27. 　王琳, 秦平, 侯明. 多中心性Castleman病3例[J]. 临床血液学杂志, 2004, 17(5): 307-308.

West China Medical Journal

Retroperitoneal Giant Lymph Node Hyperplasia: A Report of One Case

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