Abstract
Giant lymph node hyperplasia is a rare, benign disease involving lymph nodes in various locations, predominantly in the mediastinum. There are two variants: plasma cell (earlier and/or acute) and hyaline-vascular, more chronic with an intermediate transitional type. The usual presentation is a solitary well-circumscribed asymptomatic mass lesion, often attaining large size, with infrequent associated hematologic manifestations. A case of giant lymph node hyperplasia involving the paravertebral superior mediastinum is reported.
Surgical excision was the treatment of choice in a 65-year-old man, and at thoractomy, an encapsulated mass was excised from the posterior superior mediastinum. The patient had an uneventful postoperative course and was discharged on the tenth postoperative day.
Three years later, he is well and employed as a carpenter.
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- ABELL M. R. Lymphnodal hamartoma versus thymic choristoma of pulmonary hilum. AMA Arch Pathol. 1957 Nov;64(5):584–588. [PubMed] [Google Scholar]
- Abell M. R. Lymphoid hamartoma. Radiol Clin North Am. 1968 Apr;6(1):15–24. [PubMed] [Google Scholar]
- Al-Jabi M., Tolnai G., McCaughey W. T. Angiofollicular lymphoid hyperplasia in an angiolipomatous mass. Arch Pathol Lab Med. 1980 Jun;104(6):313–315. [PubMed] [Google Scholar]
- Ballow M., Park B. H., Dupont B., Caldwell R. R., Lonsdale D., Good R. A. Benign giant lymphoid hyperplasia of the mediastinum with associated abnormalities of the immune system. J Pediatr. 1974 Mar;84(3):418–420. doi: 10.1016/s0022-3476(74)80731-6. [DOI] [PubMed] [Google Scholar]
- Bartoli E., Massarelli G., Soggia G., Tanda F. Multicentric giant lymph node hyperplasia. A hyperimmune syndrome with a rapidly progressive course. Am J Clin Pathol. 1980 Mar;73(3):423–426. doi: 10.1093/ajcp/73.3.423. [DOI] [PubMed] [Google Scholar]
- Boxer L. A., Boxer G. J., Flair R. C., Engstrom P. F., Brown G. S. Angiomatous lymphoid hamartoma associated with chronic anemia, hypoferremia, and hypergammaglobulinemia. J Pediatr. 1972 Jul;81(1):66–70. doi: 10.1016/s0022-3476(72)80375-5. [DOI] [PubMed] [Google Scholar]
- CASTLEMAN B., IVERSON L., MENENDEZ V. P. Localized mediastinal lymphnode hyperplasia resembling thymoma. Cancer. 1956 Jul-Aug;9(4):822–830. doi: 10.1002/1097-0142(195607/08)9:4<822::aid-cncr2820090430>3.0.co;2-4. [DOI] [PubMed] [Google Scholar]
- Chen K. T. Multicentric Castleman's disease and Kaposi's sarcoma. Am J Surg Pathol. 1984 Apr;8(4):287–293. doi: 10.1097/00000478-198404000-00006. [DOI] [PubMed] [Google Scholar]
- Craddock D. R., Peacock M. J., Allen P. W. Giant lymph node hyperplasia of the mediastinum. Med J Aust. 1974 May 18;1(20):795–797. doi: 10.5694/j.1326-5377.1974.tb93337.x. [DOI] [PubMed] [Google Scholar]
- Culver G. J., Choi B. K. Benign lymphoid hyperplasia (Castleman's tumor) mimicking a posterior mediastinal neurogenic tumor. Chest. 1972 Oct;62(4):516–517. doi: 10.1378/chest.62.4.516. [DOI] [PubMed] [Google Scholar]
- Emson H. E. Extrathoracic angiofollicular lymphoid hyperplasia with coincidental myasthenia gravis. Cancer. 1973 Jan;31(1):241–245. doi: 10.1002/1097-0142(197301)31:1<241::aid-cncr2820310132>3.0.co;2-t. [DOI] [PubMed] [Google Scholar]
- Fisher E. R., Sieracki J. C., Goldenberg D. M. Identity and nature of isolated lymphoid tumors (so-called nodal hyperplasia, hamartoma, and angiomatous hamartoma) as revealed by histologic, electron microscopic, and heterotransplantation studies. Cancer. 1970 Jun;25(6):1286–1300. doi: 10.1002/1097-0142(197006)25:6<1286::aid-cncr2820250606>3.0.co;2-u. [DOI] [PubMed] [Google Scholar]
- Frizzera G., Banks P. M., Massarelli G., Rosai J. A systemic lymphoproliferative disorder with morphologic features of Castleman's disease. Pathological findings in 15 patients. Am J Surg Pathol. 1983 Apr;7(3):211–231. doi: 10.1097/00000478-198304000-00001. [DOI] [PubMed] [Google Scholar]
- Gaba A. R., Stein R. S., Sweet D. L., Variakojis D. Multicentric giant lymph node hyperplasia. Am J Clin Pathol. 1978 Jan;69(1):86–90. doi: 10.1093/ajcp/69.1.86. [DOI] [PubMed] [Google Scholar]
- Hartsock R. J. Postvaccinial lymphadenitis. Hyperplasia of lymphoid tissue that simulates malignant lymphomas. Cancer. 1968 Apr;21(4):632–649. doi: 10.1002/1097-0142(196804)21:4<632::aid-cncr2820210415>3.0.co;2-o. [DOI] [PubMed] [Google Scholar]
- Keller A. R., Hochholzer L., Castleman B. Hyaline-vascular and plasma-cell types of giant lymph node hyperplasia of the mediastinum and other locations. Cancer. 1972 Mar;29(3):670–683. doi: 10.1002/1097-0142(197203)29:3<670::aid-cncr2820290321>3.0.co;2-#. [DOI] [PubMed] [Google Scholar]
- LATTES R., PACHTER M. R. Benign lymphoid masses of probable hamartomatous nature. Analysis of 12 cases. Cancer. 1962 Jan-Feb;15:197–214. doi: 10.1002/1097-0142(196201/02)15:1<197::aid-cncr2820150128>3.0.co;2-6. [DOI] [PubMed] [Google Scholar]
- Nordstrom D. G., Tewfik H. H., Latourette H. B. Plasma cell giant lymph node hyperplasia responding to radiation therapy. AJR Am J Roentgenol. 1978 Jan;130(1):169–171. doi: 10.2214/ajr.130.1.169. [DOI] [PubMed] [Google Scholar]
- Schlosnagle D. C., Chan W. C., Hargreaves H. K., Nolting S. F., Brynes R. K. Plasmacytoma arising in giant lymph node hyperplasia. Am J Clin Pathol. 1982 Oct;78(4):541–544. doi: 10.1093/ajcp/78.4.541. [DOI] [PubMed] [Google Scholar]
- Tung K. S., McCormack L. J. Angiomatous lymphoid hamartoma. Report of five cases with a review of the literature. Cancer. 1967 Apr;20(4):525–536. doi: 10.1002/1097-0142(1967)20:4<525::aid-cncr2820200409>3.0.co;2-j. [DOI] [PubMed] [Google Scholar]
- Wahner H. W., Goellner J. R., Hoagland H. C. Giant lymph node hyperplasia resembling abdominal abscess on gallium scan. Clin Nucl Med. 1978 Jan;3(1):19–21. doi: 10.1097/00003072-197801000-00005. [DOI] [PubMed] [Google Scholar]
- Walter J. F., Rottenberg R. W., Cannon W. B., Sheridan L. A., Pizzimenti J., Orr J. T. Giant mediastinal lymph node hyperplasia (Castleman's disease): angiographic and clinical features. AJR Am J Roentgenol. 1978 Mar;130(3):447–450. doi: 10.2214/ajr.130.3.447. [DOI] [PubMed] [Google Scholar]
- Weisenburger D. D., DeGowin R. L., Gibson P., Armitage J. O. Remission of giant lymph node hyperplasia with anemia after radiotherapy. Cancer. 1979 Aug;44(2):457–462. doi: 10.1002/1097-0142(197908)44:2<457::aid-cncr2820440212>3.0.co;2-4. [DOI] [PubMed] [Google Scholar]
- Yu G. S., Carson J. W. Giant lymph-node hyperplasia, plasma-cell type, of the mediastinum, with peripheral neuropathy. Am J Clin Pathol. 1976 Jul;66(1):46–53. doi: 10.1093/ajcp/66.1.46. [DOI] [PubMed] [Google Scholar]





