CT manifestations of unicentric Castleman disease in children
10.13929/j.issn.1003-3289.2025.10.005
- VernacularTitle:儿童单中心型卡斯尔曼病CT表现
- Author:
Jing YAO
1
;
Xuehua PENG
1
;
Jianbo SHAO
1
Author Information
1. 华中科技大学同济医学院附属武汉儿童医院(武汉市妇幼保健院)影像中心武汉市儿童影像医学临床医学研究中心,湖北武汉 430000
- Publication Type:Journal Article
- Keywords:
child;
Castleman disease;
tomography,X-ray computed
- From:
Chinese Journal of Medical Imaging Technology
2025;41(10):1637-1640
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe CT manifestations of unicentric Castleman disease(UCD)in children.Methods Totally 7 children with solitary UCD confirmed by postoperative pathology were retrospectively enrolled,and CT manifestations of lesions were observed.Results The lesions presented as circular mass,with smooth,regular and clear edge in all 7 cases,the maximum diameter of lesions was 15.1-74.3 mm,and the average diameter was(42.57±19.05)mm.Among 7 cases,lesions located in the neck,mediastinum and abdominal cavity each in 2 cases,respectively,while in 1 case located in inguinal area.Non-enhanced CT showed soft tissue density lesion in all 7 cases including 6 with uniform density without bleeding,calcification or necrosis,while lesion in mediastinum had short linear high-density calcification in 1 case.Satellite lesions around the mass were noticed in 6 cases.After enhanced scanning,in arterial phase lesions moderately enhanced in 4 cases and significantly enhanced in 3 cases,which all significantly enhanced in venous phase,and abundant small blood vessels around lesions were observed in all 7 cases,while fissure signs were observed in 3 cases.Conclusion UCD in children presented as soft tissue mass with clear boundary,uniform density and significant enhancement on CT,with abundant nourishing blood vessels and satellite lesions around,while some with calcifications and fissure signs.
