Case report: Successful treatment of mediastinal unicentric castleman disease using cardiopulmonary bypass

Abstract

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Unicentric Castleman disease (UCD) is a rare, benign lymphoproliferative disorder. Mediastinal UCD has tumors with no clear boundaries that are highly vascularized. Resection surgery results in bleeding, leading to further challenges. Mixed-type UCD is rare. We report the case of a 38-year-old asymptomatic patient with mixed-type UCD; the tumor measured 7.8 cm in size and had unclear boundaries. The tumor was successfully resected by performing a cardiopulmonary bypass on the beating heart; the patient recovered uneventfully.

Keywords

• castleman's disease
• middle mediastinal tumor
• mixed pathology
• cardiopulmonary bypass
• surgery