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-circumscribed 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 Castleman’s disease. Castleman’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.
Key Words: Castleman’s Disease, Interlober fissure, Pulmonary artery aneurysm, Embolization
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