Ishibashi O, Morita R, Ishikawa S, Onitsuka M, Akaogi E, Mitsui K
Department of Respiratory Surgery, Tsukuba University Hospital, Ibaraki, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1994 Feb;42(2):253-6.
A 29-year-old female who complained of low grade fever was detected an abnormal shadow in the left pulmonary hilum on a chest roentgenogram. Thoracotomy revealed that the tumorous lesion originated from left hilar lymph node. Left hilar and mediastinal lymph nodes were extirpated. Histopathologically, three of all the resected lymph nodes were diagnosed as Castleman lymphoma (plasma cell type). Therefore, not only the main lymph node but also the associating lymph nodes should be completely extirpated, since, in this disease, especially plasma cell type, the lesions are often multicentric.
一名29岁女性，主诉低热，胸部X线片显示左肺门有异常阴影。开胸手术发现肿瘤性病变起源于左肺门淋巴结。切除了左肺门和纵隔淋巴结。组织病理学检查显示，所有切除的淋巴结中有三个被诊断为Castleman淋巴瘤（浆细胞型）。因此，在这种疾病中，尤其是浆细胞型，病变往往是多中心的，不仅要完全切除主要淋巴结，还要切除相关淋巴结。
