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Ann Thorac Surg 2003;75:1018-1019
© 2003 The Society of Thoracic Surgeons

Case report

Surgical resection of a solitary plasmacytoma originating in a rib of a patient with Castleman’s disease

Simon Wilkinson, MRCSa*, Christopher P. Forrester-Wood, FRCSa

a Department of Thoracic Surgery, Bristol Royal Infirmary, Bristol, United Kingdom

Accepted for publication September 6, 2002.

* Address reprint requests to Mr Wilkinson, 57 Oakfield Rd, Clifton, Bristol BS8 2BA, UK
e-mail: simonmwilkinson{at}hotmail.com

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.






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