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摘要


一位28歲女性病人,因為下腹疼痛以及骨盆腔腫瘤在診所開刀。在乙狀結腸腸繫膜發現一個血管增生性的腫瘤。轉送至本院後,進行乙狀結腸切除及結腸直腸吻合手術。病人於術後10天順利出院。病理報告顯示屬於卡斯托曼病(Castleman's disease)的透明血管型。後天免疫病毒血清呈陰性反應。術後病人沒有接受化學或放射線治療。追蹤兩年半,病人於一個月前至門診,仍然保持健康。卡斯托曼病(Castleman' sdisease)是一種罕見的疾病,有清楚的臨床病理定義。這種疾病很少在乙狀結腸發現。治療方式要根據組織學以及臨床的型態而有所不同。

並列摘要


A 28 y/o female patient had noticed a pelvic mass and low abdominal pain was explored at a local hospital. A hypervascular tumor was noted in the mesentery of the sigmoid colon. At our hospital, sigmoid colectomy with colorectal anastomosis was performed. The patient had uneventful postoperative course and was discharged 10 days after surgery. Pathological report showed it was a hyaline vascular type of Castleman's disease. Serological test of HIV was negative. The patient did not receive chemotherapy or radiotherapy. She was last seen one month ago, two and half years following surgery, with good health. Castleman's disease is a rare disease and is well established as a distinct clinicopathologic entity. The lesion is rarely found in the sigmoid colon. Treatment should be tailored according to the histological variants and clinical types.

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