Korean J Thorac Cardiovasc Surg.
2000 Mar;33(3):265-267.
The Castlemen's Disease in Mediastinum: A Case Report
- Affiliations
-
- 1Department of Thoracic and Cardiovascular Surgery, Sejong Heart Institute, Puchon-shi, Kyonggi-do, Korea.
- 2Pediatric Cardiology, Sejong General Hospital, Puchon-shi, Kyonggi-do, Korea.
Abstract
-
Castleman's disease is a relatively rate disorder of lymphoid tissue and poorly understood
etiology. The disease may occur anywhere along the lymphatic chain, but is most commonly
found as a solitary mass in the mediastinum. The hyaline vascular type represents 91% of
Castlemen's disease, and these are most often discovered in the asymptomatic patient on
routine chest film. Patients with the plasma cell type often exhibit systemic symptoms,
including fever, night sweats, anemia, and hypergammaglobulinemia. Surgical excision effects
cure, although resection of the hyaline vascular type may be associated with significant
hemprrage owing to extreme vascularity. We recently experienced a case of hyaline vascular
type Castleman's disease which was treated by surgical resection through the anterior
mini-thoracotomy, and report with its review.