General anesthesia in a patient with multicentric Castleman's disease: a case report

• Published in: Korean journal of anesthesiology Vol. 68; no. 3; pp. 304 - 308
• Main Authors: Son, Hee Won, Huh, In Young, Lee, Sang Hyun, Kim, An Suk, Park, Se Hun, Kim, Dae-Young
• Format: Journal Article
• Language: English
• Published: Korea (South) The Korean Society of Anesthesiologists 01.06.2015; Korean Society of Anesthesiologists; 대한마취통증의학회
• Subjects: Case Report; general anesthesia; multicentric castleman's disease; 마취과학; General anesthesia; Multicentric Castleman's disease
• ISSN: 2005-6419; 2005-7563; 2005-7563
• DOI: 10.4097/kjae.2015.68.3.304

Castleman's disease (CD) is a rare lymphoproliferative disorder of undetermined etiology. Unicentric Castleman's disease is confined to a single lymph node; it is usually asymptomatic though sometimes has local manifestations related to mass effects. In contrast, multicentric Castleman's disease (MCD) typically presents with lymphoid hyperplasia at multiple sites; it is associated with systemic symptoms and abnormal laboratory findings, with a less favorable prognosis. In case of anesthesia in CD, an exhaustive preanesthetic evaluation is essential to identify associated clinical manifestations which may influence the management of the anesthesia. Perioperative careful monitoring and proper anesthetic management are both important. We report a case of general anesthesia with anesthetic management in a patient with MCD that has not been documented in the literature.