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Ro, Ryu, Cho, Park, Yoon, Jegal, Lee, and Lim: Pediatric Solitary Castleman's Disease Concurrently Arising from Neck & Axilla
Case Report
Journal of the Korean Surgical Society

Journal of the Korean Surgical Society 2010; 78(5): 334-337.

Published online: 10 May 2010

DOI: https://doi.org/10.4174/jkss.2010.78.5.334

Pediatric Solitary Castleman's Disease Concurrently Arising from Neck & Axilla

Hye Won Ro, M.D., Hee Sun Ryu, M.D., Jin Seong Cho, M.D., Min Ho Park, M.D., Jung Han Yoon, M.D., Young Jong Jegal, M.D., Ji Shin Lee, M.D.1, Hyo Sun Lim, M.D.2

Department of Surgery, Chonnam National University Medical School, Gwangju, Korea.

1Department of Pathology, Chonnam National University Medical School, Gwangju, Korea.

2Department of Radiology, Chonnam National University Medical School, Gwangju, Korea.

Corresponding author (thokthok@hanmail.net)

Received 9 October 2009       Accepted 20 November 2009

Copyright © 2010 The Korean Surgical Society

Abstract

Castleman's disease (CD) is an unusual benign lymphoproliferative disorder of unknown etiology and pathogenesis. It most commonly occurs in the mediastinum, but rarely in the axilla or neck. CD has been rarely reported at pediatric age in Korea. Here we report a 17-month-old male patient with histopathologically proven cervical & axillary CD of the hyline vascular type who presented with a painless axillary palpable mass and was treated with a complete excision of the neck & axilla mass without complication.

Keywords: Castlman's disease, Pediatric, Neck, Axilla

Figures and Tables

Fig. 1
Ultrasonography of the left axilla shows multiple conglomerated round hypoechogenic mass.
jkss-78-334-g001
Fig. 2
Contrast enhanced CT scan of neck reveals multiple conglomerate homogeneously enhancing oval to round lymph nodes (arrowheads) in both level II and left axillary area.
jkss-78-334-g002
Fig. 3
There were proliferative lymphoid follicles and hyalinized germinal center capillary proliferation and many plasma cells in interfollicular space. (A) Cervical lymph node (LN) (H&E stain, ×100). (B) Cervical LN (H&E stain, ×400). (C) Axillary LN (H&E stain, ×100). (D) Cervical LN (H&E stain, ×400).
jkss-78-334-g003

References

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