Korean J Anesthesiol.  2015 Jun;68(3):304-308. 10.4097/kjae.2015.68.3.304.

General anesthesia in a patient with multicentric Castleman's disease: a case report

• Son HW
• Huh IY
• Lee SH
• Kim AS
• Park SH
• Kim DY

• KMID: 2148699
• DOI: http://doi.org/10.4097/kjae.2015.68.3.304

Abstract

Castleman's disease (CD) is a rare lymphoproliferative disorder of undetermined etiology. Unicentric Castleman's disease is confined to a single lymph node; it is usually asymptomatic though sometimes has local manifestations related to mass effects. In contrast, multicentric Castleman's disease (MCD) typically presents with lymphoid hyperplasia at multiple sites; it is associated with systemic symptoms and abnormal laboratory findings, with a less favorable prognosis. In case of anesthesia in CD, an exhaustive preanesthetic evaluation is essential to identify associated clinical manifestations which may influence the management of the anesthesia. Perioperative careful monitoring and proper anesthetic management are both important. We report a case of general anesthesia with anesthetic management in a patient with MCD that has not been documented in the literature.

Keyword

General anesthesia; Multicentric Castleman's disease

MeSH Terms

Anesthesia
Anesthesia, General*
Giant Lymph Node Hyperplasia*
Humans
Hyperplasia
Lymph Nodes
Lymphoproliferative Disorders
Prognosis