Castleman's disease: a clinicopathologic study of 12 cases.

ABSTRACT

Castleman's disease observed in 12 Thai patients was investigated. The male to female ratio was 13. Peak prevalence was in the third and fourth decades. It is suggested that the disease in Orientals tends to have extrathoracic mass more often than in Caucasians. Solitary non-tender slow growing mass was the most common symptom. Generalized lymphadenopathy in association with cutaneous plasmocytoma was noted in one example while asymptmatic pelvic lesion in a patient was discovered incidentally. Histologically, the hyaline-vascular type was found in 8 instances, the remainders were plasma-cell type. Surgery was effective for localized lesions while systemic form could benefit from chemotherapy.