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Castleman’s disease

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Part of the book series: Current Histopathology ((CUHI,volume 19))

Abstract

Castleman’s disease (giant lymphoid hamartoma, angiofollicular mediastinal lymph node hyperplasia, angiomatous lymphoid hamartoma) was originally described as a localized benign mediastinal lymph node enlargement characterized by angiofollicular hyperplasia and interfollicular capillary proliferation (Castleman et al.. 1956). Since this first description, Keller et al. (1972) reported the occurrence of extrathoracic unifocal lymph node presentation of the disease and divided the lesion histologically into the hyaline vascular type and the plasma cell type. The hyaline vascular variant accounts for about 80% of cases and has a predilection for the mediastinum. It is usually asymptomatic. In contrast to the hyaline vascular type, the plasma-cell variant is frequently found outside the mediastinum and is often associated with systemic manifestations. A multicentric variant of the disease has also been described, regularly associated with systemic symptoms (systemic Castleman’s disease) (Frizzeria etal.. 1983).

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References

  • Castelman, B., Iverson, L. and Menendez, V. P. (1956) Localized mediastinal lymph node hyperplasia resembling thymoma. Cancer. 9, 822–830.

    Article  Google Scholar 

  • Chan, J. K. C., Fletcher, C. D. M., Hicklin, G. A. and Rosai, J. (1990) Glomeruloid hemangioma. A distinctive cutaneous lesion of multicentric Castleman’s disease associated with POEMS syndrome. Am. J. Surg. Pathol.. 14, 1036–1046.

    Article  PubMed  CAS  Google Scholar 

  • Frizzeria, G. (1988) Castleman’s disease and related disorders. Semin. Diagn. Pathol.. 5, 346–364.

    Google Scholar 

  • Frizzeria, G. (1991) Systemic Castleman’s disease. Am. J. Surg. Pathol., 15, 192.

    Article  Google Scholar 

  • Frizzeria, G., Banks, P. M., Massarelli, G. et al. (1983) A systemic lymphoproliferative disorder with morphologic features of Castleman’s disese. Pathological findings in 15 patients. Am. J. Surg. Pathol., 7, 211–231.

    Article  Google Scholar 

  • Gerald, W., Kostianovsky, M. and Rosai, J. (1990) Development of vascular neoplasia in Castleman’s disease. Report of seven cases. Am. J. Surg. Pathol., 14, 603–614.

    Article  PubMed  CAS  Google Scholar 

  • Keller, A., Hochholzer, L. and Castleman, B. (1972) Hyaline vascular and plasma-cell types of giant lymph node hyperplasia of the mediastinum and other locations. Cancer, 29, 670–681.

    Article  PubMed  CAS  Google Scholar 

  • Lowenthal, D. A., Filippa, D. A., Richardson, M. E., Bertoni, M. and Strauss, D. J. (1987) Generalized lymphadenopathy with morphologic features of Castleman’s disease in an HIV-positive man. Cancer, 60, 2454–2458.

    Article  PubMed  CAS  Google Scholar 

  • Maheswaran, P. R., Ramsay, A. D., Norton, A. J. and Roche, W. R. (1991) Hodgkin’s disease presenting with the histological features of Castleman’s disease. Histopathology. 18, 249–253.

    Article  PubMed  CAS  Google Scholar 

  • Maier, H. C. and Sommers, S. C. (1980) Mediastinal lymph node hyperplasia, hypergammaglobulinemia, and anemia. J. Thorac. Cardiovasc. Surg., 79, 860–863.

    PubMed  CAS  Google Scholar 

  • Meisel, S., Rozenman, J., Yellin, A. etal. (1988) Castleman’s disease. An uncommon computed tomographic feature. Chest, 93, 1306–1307.

    Article  PubMed  CAS  Google Scholar 

  • Rosai, J. and Levine, G. D. (1976) Tumors of the thymus. In Atlas of Tumor Pathology, 2nd series, fasc 13. Armed Forces Institute of Pathology, Washington, DC.

    Google Scholar 

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© 1992 J. M. Verley and K. H. Hollmann

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Verley, J.M., Hollmann, K.H. (1992). Castleman’s disease. In: Tumours of the Mediastinum. Current Histopathology, vol 19. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-2994-7_8

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  • DOI: https://doi.org/10.1007/978-94-011-2994-7_8

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-5331-0

  • Online ISBN: 978-94-011-2994-7

  • eBook Packages: Springer Book Archive

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