Unicentric Castleman's disease: an uncommon cause of chronic cough

Tunis Med. 2018 Feb;96(2):148-151.

Abstract

Castleman disease (CD) or angiofollicular lymph node hyperplasia is a rare lymphoproliferative disorder characterized by lymph node hyperplasia of uncertain etiology. CD is divided clinically into unicentric (localized to one region of the body) considered as a benign disease and multicentric with less favourable prognosis. We describe a case of intrathoracic unicentric CD revealed by a chronic non-productive cough in a 50-year-old non-smoker female. Chest computed tomography revealed a bulky right hilar mass with intense homogenous contrast enhancement. The patient underwent a right upper lobectomy and mediastinal lymphadenectomy. Histopathology was consistent with hyaline-vascular (HV) type CD. The patient remained asymptomatic throughout the subsequent 6-months of follow-up.

Publication types

  • Case Reports

MeSH terms

  • Castleman Disease / complications*
  • Castleman Disease / diagnosis
  • Chronic Disease
  • Cough / diagnosis
  • Cough / etiology*
  • Diagnosis, Differential
  • Female
  • Humans
  • Middle Aged