Kitada M, Kusajima K, Kikuchi Y, Sakurada T, Suzuki T, Hirano T
Department of Chest Surgery, Obihiro National Hospital, Obihiro, Japan.
Kyobu Geka. 2001 Mar;54(3):247-9.
A 36-year-old man who complained of low grade fever and cough was detected an abnormal shadow in the right pulmonary hilum and mediastinum on a chest X-ray film. On admission, laboratory data showed high CRP and hyper gamma globlinemia. In thoracotomy, original tumor and mediastinal lymph node were resected. Histopathologically, main tumor and two of all the resected lymph node were diagnosed as Castleman lymphoma (plasma cell type). We consider that not only the main tumor and also the peripheral lymph node should be resected in this disease, because the lesions were often showed multicentric if this tumor were plasma cell type.
一名36岁男性,主诉低热和咳嗽,胸部X线片显示右肺门和纵隔有异常阴影。入院时,实验室检查显示CRP升高和高γ球蛋白血症。在开胸手术中,切除了原发肿瘤和纵隔淋巴结。组织病理学检查显示,主肿瘤和所有切除淋巴结中的两个被诊断为Castleman淋巴瘤(浆细胞型)。我们认为,对于这种疾病,不仅要切除主肿瘤,还要切除周围淋巴结,因为如果这种肿瘤是浆细胞型,病变常呈多中心性。