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- Title
A Rare Coexistence of Retroperitoneal Pararenal Castleman's Disease with Focal Nodular Hyperplasia.
- Authors
Theodosopoulos, Theodosios; Karakatsanis, Andreas; Yiallourou, Anneza I.; Nikolakopoulos, Fotios; Psychogiou, Vassiliki; Karvouni, Eleni; Voros, Dionysios
- Abstract
Castleman's disease is a distinct form of lymph node hyperplasia divided into a solitary and a multicentric type. The solitary type occurs most commonly in the mediastinum and is usually asymptomatic. We present a patient with Castleman's disease of the hyaline-vascular solitary type located in the retroperitoneum. The patient was a 38-year-old male, who presented to our hospital with fever. The imaging workup revealed a retroperitoneal mass, measuring 4 × 6 cm, located lateral to the aorta, inferior to the left renal artery and vein, and posterior to the left testicular vein. At workup, a solid hepatic lesion, 3 cm in diameter, located in the left lobe of the liver, segment IV, was also identified. Both lesions were surgically excised. The retroperitoneal tumor had the features of angiofollicular hyperplasia (Castleman's disease), hyaline-vascular type, whereas a diagnosis of focal nodular hyperplasia wasmade for the hepatic lesion. The patient is well at fourty months followup postoperatively. Surgical excision is the treatment of choice for unifocal Castleman's disease.
- Subjects
CASTLEMAN'S disease; RETROPERITONEUM diseases; HYPERPLASIA; LYMPH node diseases; COMORBIDITY; FEVER; RARE diseases
- Publication
Case Reports in Surgery, 2013, p1
- ISSN
2090-6900
- Publication type
Article
- DOI
10.1155/2013/537593