caa a22 4500 475753712 CHVBK 20180406123532.0 cr unu---uuuuu 170329e20000501xx s 000 0 eng 10.1007/s005950050629 doi (NATIONALLICENCE)springer-10.1007/s005950050629 Castleman's disease in the posterior mediastinum: Report of a case [Elektronische Daten] [Akira Iyoda, Toshikazu Yusa, Kenzo Hiroshima, Takehiko Fujisawa, Hidemi Ohwada] We report a case of Castleman's disease which developed in the posterior mediastinum, with a review of the Japanese literature. A 19-year-old female patient with asthma was pointed out to have an abnormal shadow in the right posterior mediastinum on chest X-ray. We had tried to perform thoracoscopic surgery for this tumor, but we had to convert the surgical approach from thoracoscopy to a thoracotomy because of both tight adhesion of the tumor and muscle and profuse bleeding from the tumor. The tumor was diagnosed to be the hyaline vascular type of Castleman's disease histopathologically. In the Japanese literature, Castleman's disease, which develops in the posterior mediastinum, has been reported to often accompany tight adhesion between the tumor and surrounding tissue, and profuse bleeding thus cannot be avoided at surgery. The large amount of bleeding observed during the surgery of a patient with Castleman's disease in the posterior mediastinum may be due to tight adhesion and hypervascularity of the tumor. Therefore, care should be exercised in choosing the surgical approach if Castleman's disease is suspected in cases of posterior mediastinal tumor. Springer-Verlag, 2000 Castleman's disease nationallicence posterior mediastinum nationallicence hyaline vascular type nationallicence Iyoda Akira Division of Pathology, Institute of Pulmonary Cancer Research, Chiba University School of Medicine, 1-8-1 Inohana Chuo-ku, 260-8670, Chiba-city, Chiba, Japan aut Yusa Toshikazu Department of Respiratory Surgery, Chiba Rosai Hospital, Chiba, Japan aut Hiroshima Kenzo Division of Pathology, Institute of Pulmonary Cancer Research, Chiba University School of Medicine, 1-8-1 Inohana Chuo-ku, 260-8670, Chiba-city, Chiba, Japan aut Fujisawa Takehiko Division of Surgery, Institute of Pulmonary Cancer Research, Chiba University School of Medicine, 1-8-1 Inohana Chuo-ku, 260-8670, Chiba-city, Chiba, Japan aut Ohwada Hidemi Division of Pathology, Institute of Pulmonary Cancer Research, Chiba University School of Medicine, 1-8-1 Inohana Chuo-ku, 260-8670, Chiba-city, Chiba, Japan aut Surgery Today Springer-Verlag 30/5(2000-05-01), 473-476 0941-1291 30:5<473 2000 30 595 https://doi.org/10.1007/s005950050629 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s005950050629 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Iyoda Akira Division of Pathology, Institute of Pulmonary Cancer Research, Chiba University School of Medicine, 1-8-1 Inohana Chuo-ku, 260-8670, Chiba-city, Chiba, Japan aut NATIONALLICENCE 700 1- Yusa Toshikazu Department of Respiratory Surgery, Chiba Rosai Hospital, Chiba, Japan aut NATIONALLICENCE 700 1- Hiroshima Kenzo Division of Pathology, Institute of Pulmonary Cancer Research, Chiba University School of Medicine, 1-8-1 Inohana Chuo-ku, 260-8670, Chiba-city, Chiba, Japan aut NATIONALLICENCE 700 1- Fujisawa Takehiko Division of Surgery, Institute of Pulmonary Cancer Research, Chiba University School of Medicine, 1-8-1 Inohana Chuo-ku, 260-8670, Chiba-city, Chiba, Japan aut NATIONALLICENCE 700 1- Ohwada Hidemi Division of Pathology, Institute of Pulmonary Cancer Research, Chiba University School of Medicine, 1-8-1 Inohana Chuo-ku, 260-8670, Chiba-city, Chiba, Japan aut NATIONALLICENCE 773 0- Surgery Today Springer-Verlag 30/5(2000-05-01), 473-476 0941-1291 30:5<473 2000 30 595 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer