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Yamabuki T, Ohara M, Kato M, Kimura N, Shirosaki T, Okamura K, Fujiwara A, Takahashi R, Komuro K, Iwashiro N, Hirano S. Cervical Castleman’s disease mimicking lymph node metastasis of esophageal carcinoma. World J Gastrointest Oncol 2017; 9:397-401. [PMID: 28979723 PMCID: PMC5605341 DOI: 10.4251/wjgo.v9.i9.397] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/28/2017] [Revised: 04/06/2017] [Accepted: 05/19/2017] [Indexed: 02/05/2023] Open
Abstract
Castleman’s disease (CD) is an uncommon benign lymphoproliferative disorder of unknown etiology. A rare case of cervical CD diagnosed at lymph node dissection for esophageal carcinoma is reported. An esophageal tumor was identified in a 67-year-old man during a follow-up examination after surgery for oral carcinoma. Esophagoscopy revealed a type 1 tumor in the cervical esophagus. Histology of esophagoscopic biopsies indicated squamous cell carcinoma. Contrast-enhanced computed tomography revealed swollen lymph nodes of the right cervical region. No distant metastasis was detected. Esophageal carcinoma, T2N2M0, Stage IIIA was diagnosed. Neoadjuvant chemotherapy was recommended, but the patient rejected the chemotherapy. The patient underwent laparoscopic-assisted transhiatal esophagectomy. The histopathological diagnosis was moderately differentiated squamous cell carcinoma with pT1bN0M0, Stage IA. On histology, the swollen lymph nodes of the right cervical region revealed CD. The patient’s postoperative course was relatively good.
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Affiliation(s)
- Takumi Yamabuki
- Department of Surgery, National Hospital Organization Hakodate Hospital, Hakodate 041-8512, Japan
| | - Masanori Ohara
- Department of Surgery, National Hospital Organization Hakodate Hospital, Hakodate 041-8512, Japan
| | - Mototsugu Kato
- Department of Gastroenterology, National Hospital Organization Hakodate Hospital, Hakodate 041-8512, Japan
| | - Noriko Kimura
- Department of Pathology, National Hospital Organization Hakodate Hospital, Hakodate 041-8512, Japan
| | - Tomohide Shirosaki
- Department of Surgery, National Hospital Organization Hakodate Hospital, Hakodate 041-8512, Japan
| | - Kunishige Okamura
- Department of Surgery, National Hospital Organization Hakodate Hospital, Hakodate 041-8512, Japan
| | - Aki Fujiwara
- Department of Surgery, National Hospital Organization Hakodate Hospital, Hakodate 041-8512, Japan
| | - Ryo Takahashi
- Department of Surgery, National Hospital Organization Hakodate Hospital, Hakodate 041-8512, Japan
| | - Kazuteru Komuro
- Department of Surgery, National Hospital Organization Hakodate Hospital, Hakodate 041-8512, Japan
| | - Nozomu Iwashiro
- Department of Surgery, National Hospital Organization Hakodate Hospital, Hakodate 041-8512, Japan
| | - Satoshi Hirano
- Department of Gastroenterological Surgery II, Hokkaido University Hospital, Sapporo 060-8648, Japan
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