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HEPATOSPLENOMEGALİ İLE BAŞVURAN BİR HBsAg TAŞIYICISINDA CASTLEMAN HASTALIĞI

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Abstract (2. Language): 
26 year old male patient admitted to outpatient clinics of Hepatology department because of the complaints of hiccups, malaise, and decreased exercise tolerance. HBsAg had been positive for about eleven years. Physical examination revealed hepatosplenomegaly and a suspected mass at the right inferior qantrant of the abdomen. In the computed tomography in addition to hepatosplenomegaly, a mass of 70x60x40 mm in dimension was noticed at the root of the mesentery and a decision for laparotomy was made. The histopathology of the mass extracted was documented as Castleman's disease of plasma cell variant. Two years later, he was doing well. Physical examination was unremarkable, and complete blood counts, biochemical and radiologic examinations were within normal limits. Literature is reviewed because of this case.
Abstract (Original Language): 
26 yaşında erkek hasta Hepatoloji Bilim Dalı'na hıçkırık, halsizlik ve çabuk yorulma yakınmaları ile müracaat etti. Yaklaşık onbir yıldır HBsAg pozitifti. Fizik muayenesinde, hepatosplenomegali ve karın sağ alt kadranda şüpheli kitle palpe edildi. Bilgisayarlı tomografide (BT), hepatosplenomegalinin yanısıra mezenter kökünde 70x60x40 mm boyutlarında kitle saptandı ve laparotomiye karar verildi. Çıkarılan kitlenin histopatolojik incelemesinde Castleman hastalığı (plazma hücreli tip) saptandı. İki yıl sonra yakınmasızdı. Fizik muayenede bir özellik yoktu ve tam kan sayımı, biyokimyasal ve radyolojik incelemeler normal sınırlardaydı. Bu olgu nedeniyle literatür bilgileri gözden geçirildi.
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