Preoperative embolization for the treatment of cervical Castleman disease
| Autor: | Alejandro Gonzalez-Garcia, Juan-Jose Borrero-Martin, Pedro Infante-Cossío, Alberto Sanchez-Ros-Sanchez |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Contrast Media Intraoperative bleeding Preoperative embolization medicine.artery medicine Humans Embolization Lymph node Hyaline Magnetic Resonance Imaging Scan business.industry Castleman disease Castleman Disease General Medicine medicine.disease Combined Modality Therapy Embolization Therapeutic Magnetic Resonance Imaging medicine.anatomical_structure Otorhinolaryngology Head and Neck Neoplasms Thyrocervical trunk Surgery Female Radiology business Tomography X-Ray Computed |
| Zdroj: | The Journal of craniofacial surgery. 23(3) |
| ISSN: | 1536-3732 |
| Popis: | Castleman disease (CD) is a rare benign lymphoproliferative disorder commonly described as a hypervascular mass that causes progressive lymph node enlargement. Head and neck involvement occurs only in 15% to 20% of cases. The recommended treatment in solitary CD is radical resection. Few reports have described the use of angiographic study and preoperative embolization to minimize the intraoperative risk of hemorrhage. We report a clinical case of a solitary large painless, slow-growing mass located in the neck of a 34-year-old woman. Contrast-enhanced computed tomographic and magnetic resonance imaging scan demonstrated a well-defined mass with internal calcifications and peripheral vessels located in the posterior cervical space, extending inferiorly to the supraclavicular space, which moderately enhanced after contrast administration. In the preoperative arteriography, a hypervascularized mass was identified, which mainly received an arterial supply from thyrocervical trunk. Successful embolization with polyvinyl alcohol microparticles was performed, resulting in a significant reduction of intraoperative bleeding, allowing a subsequently safe removal of the tumor. Histopathologic examination corresponded to hyaline vascular-type CD. |
| Databáze: | OpenAIRE |
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