Back to Search
Start Over
Castleman disease in the hepatic-gastric space: A case report
- Source :
- World Journal of Clinical Cases
- Publication Year :
- 2019
- Publisher :
- Baishideng Publishing Group Inc., 2019.
-
Abstract
- Background Castleman disease, also known as giant lymph node hyperplasia, was first reported in 1956. It is a rare benign proliferative pathological change of the lymph nodes. Case summary The patient, a 33-year-old woman, had epigastric distension for half a year. Examinations were performed in a local hospital. Computed tomography scan showed round soft tissue nodules, about 5.45 cm in diameter, in the hepatic-gastric space. Endoscopic ultrasound and endoscopic ultrasound guided fine needle aspiration was performed on the patient. Rapid on-site evaluation, hematoxylin eosin staining and histopathology of the puncture smear was performed. According to the Diff-Quik staining and hematoxylin eosin staining results of preoperative endoscopic ultrasound guided fine needle aspiration puncture smears as well as the immunohistochemistry results, Castleman disease was highly suspected. A sufficient preoperative evaluation was made, and a precise surgical plan was developed. Postoperative pathology confirmed Castleman disease. Conclusion Endoscopic ultrasound guided fine needle aspiration can extract internal tissues of the tumor for histological and cytological examinations and provide accurate diagnosis as much as possible. Therefore, a sufficient preoperative evaluation can be made, and a precise surgical plan can be developed.
- Subjects :
- Endoscopic ultrasound
medicine.medical_specialty
Castleman disease
medicine.diagnostic_test
Hepatic-gastric space
business.industry
Rapid on-site evaluation
H&E stain
Soft tissue
General Medicine
medicine.disease
Staining
Fine-needle aspiration
Endoscopic ultrasound guided fine needle aspiration
Case report
medicine
Immunohistochemistry
Histopathology
Radiology
business
Subjects
Details
- ISSN :
- 23078960
- Volume :
- 7
- Database :
- OpenAIRE
- Journal :
- World Journal of Clinical Cases
- Accession number :
- edsair.doi.dedup.....b80c33a7a9e875c9702a71b7b460cb90