Çağlar ÇALLI, Semih ÖNCEL, Ercan PINAR, Elif GÜÇLÜ, Aylin ÇALLI, Melda APAYDIN

Servikal bölgede Castleman hastalığı: Olgu sunumu

Castleman hastalığı, lenfoid dokunun masif prolife- rasyonu ile ilişkili olan, nedeni bilinmeyen, nadir gö- rülen bir durumdur. Hastalığın üç histolojik varyantı hyalin-vasküler, plazma hücreli ve mikst tip ile loka- lize ve multisentrik olmak üzere iki klinik tipi tanım- lanmıştır. Kliniğimize boynun sol tarafında posterior servikal bölgede şişlik şikayetiyle başvuran 47 ya- şındaki bir kadın hastanın yapılan ince iğne biyopsi- sinde lenfoma şüphesi bulunması üzerine, kitle ge- nel anestezi altında frozen çalışması yapılarak çıka- rıldı. Ameliyat sonrası histopatolojik tanı, hyalin-vas- küler tip Castleman hastalığı olarak bildirildi. Castle- man hastalığı, boyundaki şüpheli kitlelerde akla ge- tirilmesi gereken bir durumdur

Anahtar Kelimeler:

Dev lenf nodu hiperplazisi/patoloji/cerrahi, baş-boyun neoplazileri/tanı

Castleman's disease of the cervical region: a case report

Castleman’s disease is a rare disorder characterized by massive proliferation of the lymphoid tissue due to an unknown cause. Two clinical types localized, mul- ticentric have been described with three histological variants hyaline-vascular, plasma celi, and mixed type . A 47-year-old female patient was referred to our department because of a swelling in the posterior cer vical region. Fine-needle aspiration biopsy was suggestive of lymphoma. Total excision of the mass was performed under general anesthesia with intraopera- tive frozen section examination. Histopathologic diag- nosis was Castleman’s disease of hyaline-vascular type. Castleman’s disease should also be considered for suspicious masses in the neck.

Keywords:

Giant lymph node hyperplasia/pathology/ surgery, head and neck neoplasms/diagnosis,

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