Thoracoscopic approach to giant lymph node hyperplasia (Castleman's disease)

被引：8
|
作者：
Sica, GS [1 ]
Di Lorenzo, N [1 ]
Sileri, PP [1 ]
Gaspari, AL [1 ]
机构：
[1] Univ Rome Tor Vergata, Dept Gen Surg, Rome, Italy
来源：
SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES | 1999年 / 9卷 / 04期
关键词：
Castleman's disease; giant lymph node hyperplasia; thoracoscopic surgery; video surgery;
D O I：
10.1097/00019509-199908000-00011
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
We describe the case of a thoracoscopic approach to giant lymph node hyperplasia (Castleman's disease) located in the mediastinum. In our patient the initial diagnosis was substernal goiter, but at cervical exploration the mass was found not to be continuous with the thyroid. The mass was easily identified through a lateral thoracoscopic approach and carefully removed. The postoperative course was uneventful, and the patient was discharged home on the fifth postoperative day. Histopathology revealed the features of Castleman's disease, mixed type. The prevalence, location, and pathogenesis of giant lymph node hyperplasia are described, together with the histology and clinical signs. Our report is proposed as the first case of an endoscopic approach to giant lymph node hyperplasia, which could be the best surgical approach for a mediastinal location.
引用
收藏
页码：282 / 285
页数：4
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