Volume 21, Issue 1 (5-2007)                   Med J Islam Repub Iran 2007 | Back to browse issues page

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Ghafouri A, Mousavi N, Shamekhi Amiri M, Soroush A. Retroperitoneal Castleman disease: report of a case and review of the literature. Med J Islam Repub Iran. 2007; 21 (1) :59-62
URL: http://mjiri.iums.ac.ir/article-1-277-en.html
Professor of General and Thoracic Surgery Tehran University of Medical Sciences. Shariati Teaching HospitalSchool of Medicine, Kargar-e-Shomali Ave. Tehran, Iran , aghafouri@sina.tums.ac.ir
Abstract:   (4968 Views)


 Castleman disease or giant node hyperplasia is a rare disorder of the lymphoid tissue most often involving the mediastinal lymph nodes. We report a case of localized retroperitoneal hyaline-vascular type of Castleman disease. A 35-year old woman presented with mild epigastric pain with radiation to the back. Amild anemia was the only abnormal associated finding. Abdominal ultrasound and CT- scan showed a homogeneous well-demarcated mass beneath the pancreas. Excisional biopsy on laparotomy revealed a highly vascular encapsulated mass with a diameter of 6 centimeters. Histopathology examination was diagnostic: hyaline-vascular hype Castleman disease. Castleman disease, although rare, is one of the differential diagnoses of a retroperitoneal mass, most often discovered incidentally or due to pain and compressive symptoms. Excision is both diagnostic and curative for management of the localized form of Castleman disease.

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Type of Study: Original Research | Subject: Surgery

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