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Castleman's Disease Presenting with Massive Pleural Effusion: A Case Report

Castleman's Disease以大量肋膜積水表現:病例報告

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摘要


Castleman's disease為一種罕見淋巴組織內B淋巴球或漿性球不正常增生之疾病。它可區分為三種組織學分類:透明血管型,漿性球型,以及混合型。大多數病患都是意外發現且無症狀,而肋膜積液是Castleman's disease之少見徵候。我們報告一位23歲女性之局限性Castleman's disease患者,以左側大量肋膜積液為其表現症狀。患者接受手術將其左後縱膈淋巴腫塊切除,術後病人情況良好且無復發現象。

並列摘要


Castleman's disease is an unusual disorder characterized by the abnormal proliferation of B lymphocytes and plasma cells in the lymphoid organs. It is subdivided into three histologic variants: hyaline-vascular, plasma cell, and mixed. Most patients are asymptomatic and found incidentally. Pleural effusion is an uncommon manifestation of Castleman's disease. We report a 23-year-old female with localized Castleman's disease associated with massive pleural effusion. This patient is surviving well and has experienced no recurrence since undergoing a surgical resection of the giant lymph node mass.

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