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.

Keyword

Mediastinal neoplasm

MeSH Terms

Anemia
Fever
Giant Lymph Node Hyperplasia
Humans
Hyalin
Hypergammaglobulinemia
Lymphoid Tissue
Mediastinal Neoplasms
Mediastinum*
Plasma Cells
Sweat
Thorax
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