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Pulmoner Arter Anevrizmasına Benzeyen Bir Castleman Hastalığı Olgusu

A Case of Castleman's Disease Mimicking Local Pulmonary Artery Aneurisym

Journal Name:

  • İnönü Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2004

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Castleman's disease is a rare benign lymph node hyperplasia. Case: A 39-year-old female patient presented with chest pain and dyspnea. Her physical examination was unremarkable. Chest X-Ray showed a 3x3 cm, lobulated, well-circumscribed and spherical right hilar mass. Differentiation of the mass from the hilar vascular structures could not be demonstrated with thoracic computed tomography and magnetic resonance imaging. Bronchial arteriogram was performed, and it was observed that the artery supplying the mass was originating from the bronchial artery, and the artery was embolized. Pulmonary artery angiogram was normal. The 5x4x3 cm lymph node was localized extrapulmonary and interlobar and was resected subtotally with thoracotomy. Histopathologic examination of the resected specimen was revealed a hyaline-vascular type Castleman's disease. Castleman's disease is generally seen in mediastinum, and it may also be found at hilar area. Surgical excision is a favorable approach in Castleman's disease with the aims of diagnosis and treatment.
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Abstract (Original Language): 
Castleman hastalığı, nadir görülen benign bir lenf bezi hiperplazisidir. Olgu: 39 yaşında kadın hasta göğüs ağrısı ve nefes darlığı şikayeti ile başvurdu. Fizik muayenesi normaldi. Akciğer grafisinde sağ hilusda 3x4 cm ebadında düzgün kenarlı, yuvarlak, lobüle kitle vardı. Bilgisayarlı toraks tomografisi ve manyetik rezonans görüntüleme ile kitlenin hiler vasküler oluşumlardan ayrımı yapılamadı. Bronşiyal arteriografi yapıldı ve lezyonun bronşiyal arterden beslendiği tesbit edildi ve besleyen bronşiyal arter embolize edildi. Pulmoner arter anjiografisi normaldi. Torakotomi ile 5x4x3 cm ebadında, interlober ve ekstrapulmoner yerleşimli lenf nodu tama yakın çıkartıldı. Histopatolojik inceleme hyalen vasküler tip Castleman hastalığı olarak raporlandı. Castleman hastalığı sıklıkla mediasten yerleşimlidir ve hiler bölgede de bulunabilir. Castleman hastalığının lokalize soliter formunda tanı ve tedavi amacıyla cerrahi eksizyon uygun tedavi yaklaşımıdır.
FULL TEXT (PDF): 
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  • 4
267-270
  • Turkish

REFERENCES

References: 

1. Castleman B, Iverson L, Menendez PV. Localized mediastinal lymph-node hyperplasia resembling thymoma. Cancer 1956;9:822-830.
2. Keller AR, Hochholzer L, Castleman B. Hyaline-vascular and plasma-cell types of giant lymph node hyperplasia of the mediastinum and other locations. Cancer 1972;29:670-683.
3. Emad A. Prolonged fever as an unusual manifestation of the hyaline vascular type of Castleman's disease in the chest: report and review of the literature. Ann Hematol 1997;75:161-164.
4. Weisenburger DD, Nathwani BN, Winberg CD, Rappaport H. Multicentric angiofolliculer lymph node hyperplasia: A clinicopathologic study of 16 cases.
Hum Pathol 1985;16:162-172.
5. Ferrozzi F, Tognini G, Spaggiari E, Pavone P. Focal Castleman disease of the lung MRI findings. Journal of Clinical Imaging 2001;25:400-402.
6. Safford SD, Lagoo,SA, Samuel A, Durham M. Preoperative embolization as an adjunct to the operative management of mediastinal Castleman's disease. J Pediatr
Surg 2003;38(9):1-3.
7.
Taştep
e İ, Demircan S, Kuzucu A, Karaoğlanoğlu N, Kürkcüoğlu C. Castleman Hastalığı:Dev lenf nodu hiperplazisi. GKD Cer Derg 1996;4:135-137.
8. Kim JH, Jun TG, Sung SW, Shim SY, Han SK, Kim YW, Yoo CG, Seo JW, Rho JR. Giant lymph node hyperplasia (Castleman's Disease) in chest. Ann Thorac
Surg 1995;59:1162-1165.
9. Hacıibrahimoğlu G, Solak O, Erkan L, Gürses A. VATS ile Castleman hastalığı
tanısı:
Olg
u bildirisi. Türk Göğüs Kalp Damar Cer Derg 2000;8:817-818.
10. Seirafi AP, Ferguson E, Edwards FH. Thoracoscopic resection of Castleman's disease: Case report and review. Chest 2003;123(1):280-282.

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