Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
|
pubmed:dateCreated |
1996-10-24
|
pubmed:abstractText |
We report the unusual case of a 77-year-old man with cervical Castleman's disease associated with benign M-proteinemia. The patient was found to have an anterior cervical tumor during a follow-up examination after surgery for early gastric cancer, at which time blood biochemistry tests revealed M-proteinemia at the position of beta-globulin with a high level of IgG and low levels of IgA and IgM. Serum protein immunoelectrophoresis revealed M-protein consisting of the IgG-k chain, and urine protein immuno-electrophoresis demonstrated Bence Jones protein consisting of the chain. No abnormalities were noted in bone marrow aspiration or bone scintigram. The results of imaging and fine-needle aspiration biopsy of the tumor led to a pre-operative diagnosis of cervical malignant lymphoma with suspected M-proteinemia derived from this disease, and resection of the anterior cervical tumor with bilateral neck dissection was performed. Histopathological examination subsequently demonstrated four mixed-type tumors of Castleman's disease. The pathogenesis of Castleman's disease remains unknown; however, we speculate that the complication of benign M-proteinemia in this patient was not incidental, but caused by an underlying immunological abnormality of the B cells.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:issn |
0941-1291
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
26
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
213-6
|
pubmed:dateRevised |
2009-11-19
|
pubmed:meshHeading |
pubmed-meshheading:8845618-Aged,
pubmed-meshheading:8845618-Bence Jones Protein,
pubmed-meshheading:8845618-Giant Lymph Node Hyperplasia,
pubmed-meshheading:8845618-Humans,
pubmed-meshheading:8845618-Immunoglobulin G,
pubmed-meshheading:8845618-Immunoglobulin kappa-Chains,
pubmed-meshheading:8845618-Lymph Nodes,
pubmed-meshheading:8845618-Male,
pubmed-meshheading:8845618-Monoclonal Gammopathy of Undetermined Significance,
pubmed-meshheading:8845618-Neck
|
pubmed:year |
1996
|
pubmed:articleTitle |
Cervical Castleman's disease associated with benign M-proteinemia: report of a case.
|
pubmed:affiliation |
Department of Surgery, Fujimi-kogen Hospital, Suwa, Japan.
|
pubmed:publicationType |
Journal Article,
Case Reports
|