Tumor enucleation for Castleman's disease in the pulmonary hilum: a case report

被引：3

作者：

Aoki, Masaya ^{[1
]}

Kamimura, Go ^{[1
]}

Umehara, Tadashi ^{[1
]}

Takeda, Aya Harada ^{[1
]}

Watanabe, Yui ^{[1
]}

Maeda, Koki ^{[1
]}

Nagata, Toshiyuki ^{[1
]}

Otsuka, Tsunayuki ^{[1
]}

Sato, Masami ^{[1
]}

机构：

[1] Kagoshima Univ, Grad Sch Med & Dent Sci, Dept Gen Thorac Surg, 8-35-1 Sakuragaoka, Kagoshima 8908520, Japan

来源：

SURGICAL CASE REPORTS | 2019年 / 5卷 / 1期

关键词：

Castleman's disease; Hyaline vascular type; Pulmonary hilum; Intraoperative frozen section diagnosis; Tumor enucleation;

D O I：

10.1186/s40792-019-0652-3

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

BackgroundThe development of Castleman's disease in the pulmonary hilum is extremely rare. Although resection of only the lesion is sufficient because of its benign nature, lobectomy or more extensive procedures performed for the pulmonary hilar tumor have been reported.Case presentationThe patient was a 15-year-old male with a tumor in the right pulmonary hilum. Endobronchial ultrasound-guided transbronchial needle aspiration was performed but no specific findings were obtained from the cytological and histological evaluation. 18F-fluorodeoxyglucose positron emission tomography showed moderate accumulation in the tumor, which suggested potential malignancy. Intraoperative frozen section diagnosis did not show any malignant findings. Thus, we performed only tumor enucleation without any lung resection. The pathological diagnosis was hyaline vascular type Castleman's disease. No recurrence has been observed for seven years.ConclusionBecause hyaline vascular type Castleman's disease in solitary pulmonary hilar tumor is one of the benign diseases common in young people, intraoperative frozen section diagnosis is recommended to avoid unnecessary lung resection.

引用

页数：5