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目的:探讨盆腔局灶型Castleman病(Castleman’s disease,CD)的临床特点及诊治方法。方法:对1例因盆腔占位压迫输尿管引起肾积水的患者进行实验室和影像学检查,并于全麻下行腹腔镜下盆腔肿块切除术。结果:手术时间30min,术中出血10ml。术后第3天出院,恢复良好。术后病理检查示Castleman’s病(巨大淋巴结增生症)血管滤泡型。随访6个月,未见疾病复发或转移。结论:盆腔局灶型Castleman病是一种罕见的盆腔疾病,常以无痛性淋巴组织肿大或肿块压迫症状而就诊。治疗方法首选手术。腹腔镜微创手术比传统开放手术在术中创伤、出血量、术后恢复、美观性等方面的优越性明显,对于盆腔局灶型CD,可优先考虑行经腹腔镜切除,预后良好。
Objective: To investigate the clinical features and diagnosis and treatment of Castleman’s disease (CD) in pelvic cavity. Methods: A case of hydronephrosis caused by pelvic space obstruction of the ureter was subjected to laboratory and radiological examinations. Laparoscopic pelvic tumor resection was performed under general anesthesia. Results: The operation time was 30min and the intraoperative bleeding was 10ml. The first 3 days after discharge, a good recovery. Postoperative pathological examination showed Castleman’s disease (giant lymph node hyperplasia) vascular follicles. Follow-up 6 months, no disease recurrence or metastasis. CONCLUSION: Castleman’s disease of the pelvic cavity is a rare pelvic disease often treated with painless lymphoid enlargement or mass oppression. Treatment of choice for surgery. Laparoscopic minimally invasive surgery than the traditional open surgery in surgery trauma, bleeding, postoperative recovery, aesthetics and other aspects of the obvious advantages for the pelvic focal type CD, may be considered by laparoscopic resection, the prognosis is good.