Shah Rahil H, Cioffi-Lavina Maureen, Jaguan Abraham, Varella Marcia
Internal Medicine, Jackson Memorial Hospital/University of Miami, Miami, USA.
Department of Pathology, Mercy Hospital, Miami, USA.
Cureus. 2021 Aug 7;13(8):e16981. doi: 10.7759/cureus.16981. eCollection 2021 Aug.
Castleman's disease is an uncommon benign lymphoproliferative disorder that commonly involves the mediastinum. We report an unusual case that involves the presentation of unicentric Castleman's disease in a 52-year-old female. The patient had a supraclavicular mass extending onto the brachial plexus. The approach to the treatment and plan for supraclavicular masses is complex due in part to the extensive list of differential diagnoses possible. In this case specifically, while the mass was ultimately determined to be benign, post-surgery, the location of the mass intraoperatively made for a very technically challenging and complex dissection. Post surgical resection, the patient reported no complications. This case highlights the importance of clinical judgement, imaging and surgical technique in removing a mass encroaching on the brachial plexus.
卡斯尔曼病是一种罕见的良性淋巴增生性疾病，常累及纵隔。我们报告一例不寻常的病例，为一名52岁女性出现单中心卡斯尔曼病。患者有一个延伸至臂丛神经的锁骨上肿块。锁骨上肿块的治疗方法和计划很复杂，部分原因是可能的鉴别诊断范围广泛。在这个具体病例中，虽然肿块最终被确定为良性，但术后发现肿块在术中的位置使得解剖操作极具技术挑战性且复杂。手术切除后，患者未报告有并发症。该病例突出了临床判断、影像学检查和手术技术在切除侵犯臂丛神经的肿块中的重要性。
