Changes in diagnostic strategies for hilar-type Castleman's disease: report of two cases

Surg Today. 2009;39(12):1060-3. doi: 10.1007/s00595-008-4023-0. Epub 2009 Dec 8.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Angiography / methods
  • Biopsy, Fine-Needle / methods*
  • Bronchoscopy / methods
  • Castleman Disease / diagnosis*
  • Castleman Disease / surgery*
  • Female
  • Follow-Up Studies
  • Humans
  • Immunohistochemistry
  • Magnetic Resonance Imaging
  • Pneumonectomy / methods*
  • Preoperative Care / methods
  • Risk Assessment
  • Thoracoscopy / methods
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Ultrasonography, Interventional / methods*
  • Young Adult