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...

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Veröffentlicht in:	Surgery today (Tokyo, Japan) Japan), 2009-12, Vol.39 (12), p.1060-1063
Hauptverfasser:	Sakairi, Yuichi, Shiba, Mitsutoshi, Kakizawa, Kimitaka, Iida, Tomohiko, Katsumata, Masayoshi, Nakajima, Takahiro, Yasufuku, Kazuhiro
Format:	Artikel
Sprache:	eng
Schlagworte:	Adolescent Angiography - methods Biopsy, Fine-Needle - methods Bronchoscopy - methods Case Report Castleman Disease - diagnosis Castleman Disease - surgery Female Follow-Up Studies Humans Immunohistochemistry Magnetic Resonance Imaging Medicine Medicine & Public Health Pneumonectomy - methods Preoperative Care - methods Risk Assessment Surgery Surgical Oncology Thoracoscopy - methods Tomography, X-Ray Computed Treatment Outcome Ultrasonography, Interventional - methods Young Adult
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Beschreibung
Zusammenfassung:	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.
ISSN:	0941-1291 1436-2813
DOI:	10.1007/s00595-008-4023-0