J Korean Surg Soc.  1997 Jul;53(1):138-145.

Castleman's Disease (Giant Lymph Node Hyperplasia): Report of 2 cases and review of the literature

• Sohn WY
• Sim MS
• Park DS
• Kang JK

Abstract

Two cases of Castleman's disease (Giant lymph node hyperplasia) are reported. The first case was a multicentric cervical giant lymph node hyperplasia. Excisional biopsy confirmed the diagnosis of Castleman's disease of the plasma-cell type. Despite repeated dissection of the cervical lymph nodes, complete removal of the lymph nodes was impossible, and the type was changed into mixed type, and regrowth of the tumor was noted. Prednisolone was of no benefit. The patient is now living with cervical masses in situ without general symptoms, 4 years after the initial diagnopsis. The second case was a solitary retroperitoneal giant lymph node hyperplasia, incidentally found. Complete excision was performed and biopsy confirmed the diagnosis of Castleman's disease of hyaline-vascular type. No recurrence was found at 2 years after the excision.

Keyword

Castleman's disease; Solitary; Hyaline-vascular type; Retroperitoneum; Multi-centric; Plasma 0 cell type and mixed type; Neck

MeSH Terms

Biopsy
Diagnosis
Giant Lymph Node Hyperplasia*
Humans
Lymph Nodes*
Neck
Prednisolone
Recurrence
Prednisolone