Changes in diagnostic strategies for hilar-type Castleman's disease: report of two cases.
Castleman's disease (CD) is rare and difficult to diagnose preoperatively. We report two similar cases of hyaline vascular type CD diagnosed preoperatively using different modalities. In the first case, a biopsy specimen taken during diagnostic thoracoscopy revealed lymphatic structure suggestive of CD. In the second case, endobronchial ultrasound-guided transbronchial needle aspiration enabled sampling of histological cores for histological diagnosis. In both cases, the final diagnosis was established by surgical resection.
Sakairi
Yuichi
Y
Department of General Thoracic Surgery, Kimitsu Central Hospital, 1010 Sakurai, Kisarazu, Chiba, 292-8535, Japan.
Shiba
Mitsutoshi
M
Kakizawa
Kimitaka
K
Iida
Tomohiko
T
Katsumata
Masayoshi
M
Nakajima
Takahiro
T
Yasufuku
Kazuhiro
K
D000293:Adolescent; D000792:Angiography / Q000379:methods; D044963:Biopsy, Fine-Needle / Q000379:methods*; D001999:Bronchoscopy / Q000379:methods; D005871:Castleman Disease / Q000175:diagnosis* / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007150:Immunohistochemistry; D008279:Magnetic Resonance Imaging; D011013:Pneumonectomy / Q000379:methods*; D011300:Preoperative Care / Q000379:methods; D018570:Risk Assessment; D013906:Thoracoscopy / Q000379:methods; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional / Q000379:methods*; D055815:Young Adult