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Journal List > J Korean Surg Soc > v.76(2) > 1010925

Cha, Kim, Kim, Lee, Kim, Lee, Ahn, Baek, and Lee: Laparoscopic Treatment of Mesenteric Castleman's Disease

Abstract

Castleman's disease (CD) is an uncommon lymphoproliferative disorder of unknown origin. There are two histological types: hyaline-vascular type and plasma cell type. CD is usually located in the mediastinum, but may be seen in any site including the neck, axilla, mesentery, and retroperitoneum. A 52-year-old male complained of vague lower abdominal pain. There was no palpable mass and all laboratory data showed nonspecific findings. Abdominal computed tomography scan showed a solitary homogenous, well-defined mass in the mesentery. The laparoscopic complete resection was performed without complications. Histologic examination of resected lesion revealed the hyaline-vascular type of CD. In the hyaline-vascular type of CD, laparoscopic approach constitutes a complete treatment. We present here the case of laparoscopic treatment of isolated mesenteric CD.

Figures and Tables

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Fig. 1
Abdominal computed tomography revealed the finding of homogeneous and well-enhancing mass (white arrow).

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Fig. 2
Laparoscopy shows the tumor (black arrow) located in the mesenteric root.

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Fig. 3
Gross finding of the resected specimen. The mass shows a 2.5×2 cm in size solid mass with homogenous cut surface.

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Fig. 4
Microscopic finding of the specimen. (A) Some follicles with marked vascular proliferation and hyalinization. (H&E, ×40). (B) Germinal center with hyalinization and a tight concentric layering of lymphocytes. (onion-skin appearance) (H&E, ×200).

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References

1. Castleman B, Towne VW. Case records of the Massachusetts General Hospital: case no. 40231. N Engl J Med. 1954. 250:1001–1005.
2. Choi BJ, Kim KW, An CH, Kim JS, Yoo SJ, Lim KW. Ileal mesenteric Castleman's disease. J Korean Surg Soc. 2005. 69:273–277.
3. Hayashi M, Aoshiba K, Shimada M, Izawa Y, Yasui S, Nagai A. Kaposi's sarcoma-associated herpesvirus infection in the lung in multicentric Castleman's disease. Intern Med. 1999. 38:279–282.
4. Keller AR, Hochholzer L, Castleman B. Hyaline-vascular and plasma-cell types of giant lymph node hyperplasia of the mediastinum and other locations. Cancer. 1972. 29:670–683.
5. Irsutti M, Paul JL, Selves J, Railhac JJ. Castleman disease: CT and MR imaging features of a retroperitoneal location in association with paraneoplastic pemphigus. Eur Radiol. 1999. 9:1219–1221.
6. Herrada J, Cabanillas F, Rice L, Manning J, Pugh W. The clinical behavior of localized and multicentric Castleman disease. Ann Intern Med. 1998. 128:657–662.
7. Chronowski GM, Ha CS, Wilder RB, Cabanillas F, Manning J, Cox JD. Treatment of unicentric and multicentric Castleman disease and the role of radiotherapy. Cancer. 2001. 92:670–676.
8. Williams MD, Eissien FA, Salameh JR, Ailawadi G, Sweeney JF. Laparoscopic approach to the management of intraabdominal unicentric Castleman's disease. Surg Endosc. 2003. 17:1497.
9. Jeong CY, Lee YJ, Hong SC, Jung EJ, Choi SK, Joo YT, et al. Castleman's disease in unusual location; plasma cell variant. J Korean Surg Soc. 2005. 68:443–447.
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