경부에 발생한 Castleman씨 질환 2례

A Case Report of Castleman's Disease of the Neck

  • 김광문 (연세대학교 의과대학 이비인후과학교실) ;
  • 김명상 (연세대학교 의과대학 이비인후과학교실) ;
  • 박국진 (연세대학교 의과대학 이비인후과학교실) ;
  • 전희선 (연세대학교 의과대학 이비인후과학교실)
  • 발행 : 1998.06.01

초록

Castleman's disease was originally described as a localized mediastinal lymph node enlargement characterized by angiofollicular hyperplasia and intrafollicular capillary proliferation, with surgical removal of mass the only treatment required. It has been divided into two distict histologic types. The hyaline-vascular type is more common and characterized by small hyaline-vascular follicles and interfollicular proliferation. The plasma-cell type is occurred less frequent and more likely to present with constituitional symptoms. It commonly involves the mediastinal and pulmonary lymph nodes, with neck involvement in only 15% to 20% of cases. We report two cases of hyaline-vascular type of Castleman's disease located in the neck area with references to recent literature.

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