临床误诊误治2024，Vol.37Issue(13)：15-18,4.DOI:10.3969/j.issn.1002-3429.2024.13.004
侵犯肾静脉的Castleman病误诊临床分析
Clinical Analysis of Misdiagnosis of Castleman's Disease with Renal Vein In-vasion
摘要
Abstract
Objective To explore the clinical features of Castleman's disease(CD)and the key points of differential diagnosis,in order to reduce the misdiagnosis and mistreatment.Methods The clinical data of 1 patient with CD treated in 2023 were retrospectively analyzed,and the relevant literature was reviewed.Results One female was admitted to hospital due to abdominal space occupying for more than 10 d.After admission,the relevant examinations were performed,and no ab-normalities were found in tumor markers.Enhanced CT examination of the whole abdomen suggested the possibility of teratoma and multiple enlarged retroperitoneal lymph nodes.After multidisciplinary expert consultation,retroperitoneal foci resection,partial renal venectomy,renal vena-inferior vena cava autologous great saphenous vein bypass surgery were performed.The postoperative pathology showed CD,and the patient was cured and discharged.Conclusion Several patients with CD have no obvious clinical manifestations and are more likely to experience misdiagnosis.In clinical differentiation of CD and other ab-dominal tumors,multidisciplinary consultation should be carried out,attention should be paid to pathological and immunohis-tochemical results,and careful medical history and physical examination,and careful differential diagnosis are needed to re-duce or avoid misdiagnosis and mistreatment.关键词
Castleman病/误诊/畸胎瘤/多学科联合/部分肾静脉切除术/肾静脉-下腔静脉自体大隐静脉搭桥术/病理检查/诊断,鉴别Key words
Castleman's disease/Misdiagnosis/Teratoma/Multidisciplinary collaboration/Partial nephrectomy/Re-nal vene-inferior vena cava autogenous great saphenous vein bypass surgery/Pathological examination/Diagnosis,differential分类
临床医学引用本文复制引用
王永顺,刘乃青..侵犯肾静脉的Castleman病误诊临床分析[J].临床误诊误治,2024,37(13):15-18,4.基金项目
山东第二医科大学附属医院科技发展重点项目资助(2023FYZ017) （2023FYZ017）
