摘要
目的 总结纵隔巨大淋巴结增生症 (giantlymphnodehyperplasia)诊断和外科治疗的经验。方法 6例纵隔巨大淋巴结增生症病人 ,男女各 3例 ,按Frizzera分类标准分为局灶性、多中心性HV型各1例、多中心性Mix型 3例、PC型 1例。均行手术治疗。结果 除 1例多中心性Mix型病人术后 4年复发、再接受第 2次手术治疗 ,余 5例病人均长期生存。结论 该症只要无系统功能严重受累 ,应积极考虑手术治疗。放射治疗效果不明显 ;但对多中心性或术中无法完全切除者 ,术后可考虑辅助放射治疗。
Objective: To review the experience of diagnosis and surgical treatment of giant lymph node hyperplasia (Castleman's disease). Methods: From June 1982 to June 1999, 6 patients with mediastinal giant lymph node hyperplasia underwent surgical treatment. There were 3 male and 3 female. One case with localized type and 5 with multicentric type were classified according to the criteria described by Frizzera. The diagnosis, treatment and prognosis were analyzed retrospectively. Results: Long term survival was achieved in 1 case with localized type and 4 with multicentric type, without recurrence. 1 case with multicentric type had recurrence 4 years later and underwent second operation. Conclusions: Operation is the first choice for patient with localized type or multicentric type without serious involvement of multiple system functions. Radiotherapy has no remarkable effect, but it should be taken into consideration postoperatively according to patient's condition, especially for patient with multicentric type disease.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
2001年第1期19-21,共3页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
纵隔巨大淋巴结增生
诊断
外科手术
Giant lymph node hyperplasia Mediastinum Diagnosis Treatment
