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纵隔内浆细胞型Castleman＇s病是一个病因不清的占位性病变。由于本病罕见,文献报道病例不多。我院曾收治一例,现报道如下,并就有关问题进行讨论。患者男,32岁,已婚。因右胸痛一年,X线胸透发现右胸部阴影半年于1976年4月9日以纵隔肿瘤入院。无咳,无痰,曾行抗结核治疗未见效。体温、血压正常,胸廓无畸形,心肺正常,肝脾不肿大,体表淋巴结未触及。血常规:Hgb12.7g,WBC17, 100/mm3,血小板35.3万/mm~3,肝功:黄疽指数、转氨酶正常TTT7~u,锌浊20~u,总蛋白7.6g％球蛋白4.05g％血沉88mm/1小时。 X线胸片诊断:右中纵隔肿瘤。于1976年5月5日在针麻下行右侧开胸,肿物
The plasmacytoplasmic Castleman’s disease in the mediastinum is an occult lesion. As the disease is rare, there are few reported cases in the literature. One case has been treated in our hospital. The report is as follows and discusses related issues. Male patient, 32 years old, married. One year due to right chest pain, X-ray chest thorax found right chest shadow half a year on April 9, 1976 with mediastinal tumor admission. No cough, no sputum, anti-tuberculosis treatment has not been effective. Body temperature, normal blood pressure, thorax without malformations, heart and lung normal, liver and spleen is not swollen, surface lymph nodes are not touched. Blood routine: Hgb12.7g, WBC17, 100/mm3, platelets 353,000/mm~3, liver function: jaundice index, normal transaminases TTT7~u, zinc turbidity 20~u, total protein 7.6g% globulin 4.05g% ESR 88mm/1 hour. X-ray diagnosis: right mediastinal tumor. On May 5, 1976, he opened his chest and hematoma on the right side under acupuncture.