1994 Volume 55 Issue 5 Pages 1173-1176
We experienced a case of Castleman lymphoma which was diagnosed as thymoma pre and intraoperatively, but was first confirmed by postoperative pathologic findings.
A 38-year-old female was seen at the hospital because of general fatigue, cough and loss of body weight. Chest roentogenography and computed tomography showed an egg sized and homogenous tumor in the anterior mediastinum. The tumor was diagnosed as thymoma and the tumor was excised under left thoracotomy. Intraoperative frozen section diagnosis was also thymoma. After the operation, however, the tumor was histologically diagnosed as Castleman's tumor (hyaline-vascular type). It is said that Castleman lymphoma appears at every where of the body, and there is no definite consensus for the etiology. Especially at the chest, it is likely to be treated for thymoma. To attain the correct diagnosis of the tumor preoperatively, aggressive use of enhanced dynamic computed tomography would be recommended.
