[Thoracoscopically diagnosed multicentric Castleman disease; report of a case].
A 57-year-old female was admitted because of chest and back pain. Computed tomography (CT) revealed that many well-marginated lymph nodes were located in mediastinum and abdominal para-aortic area, especially in the right lower mediastinum. These lymph nodes were enhanced at contrast material-enhanced CT. We performed thoracoscopic surgery. The histopathologic diagnosis was multicentric Castleman disease (MCD). MCD should be considered in the differential diagnosis of multiple lymph nodes swelling with hyper globulinemia. Thoracoscopic surgery is the useful method to resect the lymph nodes and diagnose MCD.
Department of Thoracic Surgery, Haibara General Hospital, Shizuoka, Japan.
Yusuke
Y
Kita
H
H
Nogimura
S
S
Ohi
Y
Y
Kageyama
K
K
Matsushita
Y
Y
Ito
R
R
Kobayashi
Y
Y
Syundo
H
H
Neyatani
K
K
Suzuki
T
T
Kazui
D000328:Adult; D005871:Castleman Disease / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D008198:Lymph Nodes / Q000473:pathology; D008482:Mediastinum; D013906:Thoracoscopy