Castleman's Disease of the Retroperitoneum : With Special Reference to IgG4-Related Disorder
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概要
- 論文の詳細を見る
Localized Castlemans disease (CD) has been divided two types, the classical hyaline vascular (HV) type and the rare plasma cell (PC) type. Recently, we have reported two cases of IgG4-related disorder of the retroperitoneum showing PC type of CD. To further clarify the clinicopathological findings of CD of the retroperitoneum, eight such cases have been studied. A single lesion was located in the retroperitoneum (n=3), ureter (n=2) and renal hilum (n=2). One case had bilateral ureter lesions. The HV type of CD accounts for approximately 90% of cases. However, 50% (n=4) of our cases were the PC type of CD. Three of the four lesions of HV type had lymph node lesions, whereas all four PC type of CD were soft tissue masses. These clinicopathologic findings appear quite different from previous descriptions. Immunohistochemical study demonstrated numerous IgG4+ plasma cells accounting for more that 50% of IgG4+ cells in three cases of the four PC type of CD. Moreover, serum IgG4 concentration was increased in two of the four cases of PC type of CD that were examined. The serum interleukin-6 levels were within the normal range in two cases of PC type that were examined. The present study suggests that a majority of the PC type of CD arising in the retroperitoneum appears to be an IgG4-related disorder. [J Clin Exp Hematopathol 50(1) : 39-44, 2010]
- 2010-05-01
著者
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Nakamura Naoya
Department of Pathology, Tokai University School of Medicine
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OGAWA Akira
Department of Neurosurgery, Iwate Medical University School of Medicine
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NAKAMURA Shigeo
Department of Clinical Pathology, Aichi Cancer Center Hospital
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KOBAYASHI Hiroshi
Department of Physics, Rikkyo University
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KOJIMA Masaru
Department of Anatomic and Diagnostic Pathology, Dokkyo University School of Medicine
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MOTOORI Tadashi
Department of Pathology, Kitasato University, Kitasato Institute Medical Center Hospital
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SHIMIZU Ken
Department of Pathology, Saitama Social Insurance Hospital
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OTUSKI Yoshiro
Department of Pathology, Hamamatsu Seirei Hospital
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HARATAKE Joji
Department of Pathology and Clinical Laboratories, Saiseikai Yahata Hospital
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IGARASHI Tadahiko
Department of Hematological Oncology, Gunma Cancer Center Hospital
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MASAWA Nobuhide
Department of Anatomic and Diagnostic Pathology, Dokkyo University School of Medicine
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Nakamura S
Department Of Pathology Nagoya University School Of Medicine
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Nakamura Shigeo
国立がんセンター中央病院 血液内科
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Nakamura Shigeo
群馬県立がんセンター 病理検査
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Kojima M
Department Of Anatomic And Diagnostic Pathology Dokkyo University School Of Medicine
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Nakagawa Shun-ichi
鈴鹿中央総合病院(厚生連)
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Muta K
Department Of Pathology School Of Medicine Fukuoka University
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Igarashi Tadahiko
Department Of Hematological Oncology Gunma Cancer Center Hospital
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Kobayashi Hiroshi
Department Of Cardiology Tokyo Medical University
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Kume M
Department Of Hematology Sapporo Hokuyu Hospital
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Kasai Masaharu
東海大学 医学部
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Nakamura S
Department Of Pathology And Clinical Laboratories Nagoya University Hospital
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Nakamura Shigeo
名古屋大学 医学系研究科血液・腫瘍内科学
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Nakamura Shigeo
Department Of Pathology Nagoya University School Of Medicine
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Kasai M
Department Of Anatomic And Diagnostic Pathology Dokkyo University School Of Medicine
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Kikuchi M
Murakami Karindoh Hospital
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Kikuchi Masahiro
福岡大学 医学部内科学第一
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Kato M
Department Of Internal Medicine & Molecular Science Nagoya City University Graduate School Of Me
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Nakamura Shigeo
Department Of Pathology Nagoya University Graduate School Of Medicine
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Kume Masaaki
Division Of Hematology And Oncology Department Of Medicine Akita University School Of Medicine
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Kume Masaaki
Department Of Internal Medicine Iii Akita University School Of Medicine
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Kojima Masaru
Department Of Anatomic And Diagnostic Pathology Dokkyo University School Of Medicine
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Kikuchi Masahiro
Department Of Internal Medicine National Miyakonojo Hospital
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Kume Masaaki
Laboratory Of Chemotherapy Aichi Cancer Center Research Institute
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Kami Masahiro
Division Of Hematology/oncology Kameda General Hospital
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Kasai Masanobu
First Department Of Internal Medicine Nagoya University School Of Medicine
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Motoori Tadashi
Department Of Pathology Kitasato University Kitasato Institute Medical Center Hospital
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Motoori Tadashi
Department Of Pathology Kitasato University
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Ohno Yoshihiro
Department Of Pathology Hamamatsu Seirei Hospital
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Masawa Nobuhide
Department Of Anatomic And Diagnostic Pathology Dokkyo University School Of Medicine
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Masawa Nobuhide
First Department Of Pathology Dokkyo University School Of Medicine
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Haratake Joji
Department Of Pathology And Clinical Laboratories Saiseikai Yahata Hospital
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Nakamura Shigeo
Department Of Pathology And Clinical Laboratories Nagoya University Hospital
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Shimizu Kazuhiko
Department Of Pathology Saitama Social Insurance Hospital
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Ogawa Akira
Department Of Pathology And Clinical Laboratories National Takasaki Hospital
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Nakamura Naoya
Department Of Otorhinolaryngology Faculty Of Medicine University Of Tokyo
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Nakamura S
Department Of Anatomic And Molecular Pathology Aichi Cancer Center Hospital
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Kami Masahiro
Stem Cell Transplant Unit National Cancer Center Hospital
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Ogawa Akira
Department Of Biochemistry Gunma University Graduate School Of Medicine
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Masawa N
Department Of Pathology Dokkyo University School Of Medicine
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Kojima Masaru
Department Of Anatomic And Diagnostic Pathology Dokkyo Medical University
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Kobayashi Masahide
The Department Of Hematology Hamamatsu West Medical Center
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Ogawa Akira
Department Of Applied Chemistry Graduate School Of Engineering The University Of Tokyo
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Nakamura Naoya
Department Of Hematology Niigata University Graduate School Of Medical And Dental Sciences
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Haratake Joji
Department Of Diagnostic Pathology Saiseikai Yahata General Hospital
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Nakamura Satoko
Department Of Pathology Okayama University Graduate School Of Medicine Dentistry And Pharmaceutical
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Shimizu Ken
Department Of Anatomic And Diagnostic Pathology Dokkyo University School Of Medicine
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Nakamura Shigeo
Department Of Cardiovascular Diseases. Kokura National Hospital
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Nakamura Shigeo
Department Of Pathology Nagoya University
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Otuski Yoshiro
Department Of Pathology Hamamatsu Seirei Hospital
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Kobayashi Hiroshi
Department Of Pathology Hamamatsu Seirei Hospital
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Kobayashi Hiroshi
Department Of Applied Physics School Of Science And Engineering Waseda University
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Kojima Masaru
Departments Of Pathology And Clinical Laboratories
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NAKAMURA Shigeo
Department of Applied Chemistry, Faculty of Engineering, Kanagawa University
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MOTOORI TADASHI
Department of Otolaryngology, Kurume University School of Medicine
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