Suo Fengtao. Clinical analysis of 9 cases of neck Castleman's disease in children[J]. Journal of Chongqing Medical University, 2022,47(9):1095-1099.DOI:
Objective: To investigate the clinical characteristics of cervical Castleman' s disease (CD) in children and summarize its clinical symptoms
classification
imaging characteristics
treatment and prognosis. Methods: The clinical data of 9 cases of CD in children's neck from August 2015 to July 2021 in Children's Hospital of Chongqing Medical University were retrospectively analyzed. Results: Among the 9 cases
8 cases were unilateral and 1 case was bilateral
with 8 cases of painless mass in the neck and 1 case of snoring as the main manifestation
all of which were single-center type. The pathological types were all hyaline-vascular type. Surgical resection of the mass was performed in all the treatments
and the patients were followed up for 6–60 months after operation. Eight cases were successfully operated once
and another one underwent a second operation after recurrence. Conclusion: Children's neck CD disease is mainly characterized by painless mass
and unicentric CD is the main clinical classification. Imaging assessment is an important pre-operative adjunct
but confirmation of diagnosis still needs histopathological analysis. Surgical resection is the most effective treatment.