AI Summary & Key Takeaways
AI InsightSurgical excision is a favorable approach in Castleman's disease with the aims of diagnosis and treatment.
📌 3 Key Takeaways
Abstract
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-ckcumscribed 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 Casdeman's disease. Casdeman'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.
Özet
Castleman hastalığı, nadir görülen benign bir lenf bezi hiperplazisidk. 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 raporlandl. Castleman hastalığı sıklıkla mediasten yerleşimlidir ve hiler bölgede de bulunabilir. Castleman hastalığının lokalize soliter formunda tanı ve tedavi amacıyla cerrahi eksizyon uygun tedavi yaklaşımıdır.