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KMID : 0371320090760020127
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Journal of the Korean Surgical Society
2009 Volume.76 No. 2 p.127 ~ p.130
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Laparoscopic Treatment of Mesenteric Castleman’s Disease
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Cha Yu-Sun
Lee Kwan-Ju
Kim Hyung-Rae
Kim Jeong-Gu
Baek Dae-Hyun
Kim Say-June
Lee Dong-Ho
Ahn Chang-Joon
Lee Sang-Chul
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Abstract
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Castleman’s disease (CD) is an uncommon lymphoproliferative disorder of unknown origin. There are two histological types: hyaline-vascular type and plasma cell type. CD is usually located in the mediastinum, but may be seen in any site including the neck, axilla, mesentery, and retroperitoneum. A 52-year-old male complained of vague lower abdominal pain. There was no palpable mass and all laboratory data showed nonspecific findings. Abdominal computed tomography scan showed a solitary homogenous, well-defined mass in the mesentery. The laparoscopic complete resection was performed without complications. Histologic examination of resected lesion revealed the hyaline-vascular type of CD. In the hyaline-vascular type of CD, laparoscopic approach constitutes a complete treatment. We present here the case of laparoscopic treatment of isolated mesenteric CD. (J Korean Surg Soc 2009;76:127-130)
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KEYWORD
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Castleman’s disease, Mesentery, Hyaline-vascular type, Laparoscopic treatment
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