RESUMO
Castleman's disease is a rare disorder characterized by lymphoid hyperplasia. It may present as asymptomatic involvement of one lymph node group or as a multicentric disease with systemic features. We report a patient with Castleman's disease who presented with axillary lymphadenopathy associated with a solitary plasmacytoma originating from a rib. The affected rib was surgically resected and radical radiotherapy was subsequently administered to the axillary lymph nodes. In this particular case, a joint surgical and oncologic approach resulted in a successful outcome.
Assuntos
Neoplasias Ósseas/cirurgia , Hiperplasia do Linfonodo Gigante/cirurgia , Plasmocitoma/cirurgia , Costelas/cirurgia , Adulto , Axila , Neoplasias Ósseas/patologia , Neoplasias Ósseas/radioterapia , Hiperplasia do Linfonodo Gigante/patologia , Hiperplasia do Linfonodo Gigante/radioterapia , Terapia Combinada , Humanos , Irradiação Linfática , Masculino , Plasmocitoma/patologia , Plasmocitoma/radioterapia , Radioterapia Adjuvante , Costelas/patologia , Tomografia Computadorizada por Raios XRESUMO
Accessory spleniculi are present in the thoracic cavity without a history of trauma due to anomalies in the development of spleen. We report the case of a 62-year-old woman with hereditary spherocytosis and previous splenectomy with an incidental mass on a chest radiograph and an indeterminate diagnosis on needle biopsy. The probable sequence of embryological events that may explain the anatomic presence of splenic tissue in the thorax is discussed.
