ENFERMEDAD DE CASTLEMAN. UNA RARA CAUSA DE MASA RETROPERITONEAL SOLITARIA

Eugenio Carlos Carmona Campos, Pilar Moreno Arcas, David Hernandez Alcaraz, Antonio Castro Leon

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Archivos Españoles de Urología ›› 2014, Vol. 67 ›› Issue (2) : 199-203.
Case Report

ENFERMEDAD DE CASTLEMAN. UNA RARA CAUSA DE MASA RETROPERITONEAL SOLITARIA

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Abstract

OBJECTIVES: We describe a case of hyaline vascular type Castleman’s disease with unifocal presentation as retroperitoneal mass. We describe the pathological and radiological findings and present a bibliographic review.METHODS: Castleman’s disease is a rare benign disease of unknown etiology characterized by a lymphoproliferative disorder. Two clinical types have been described: localized and multicentric. Isolated retroperitoneal involvement is uncommon.RESULTS: 39-year-old female who complained of back pain. Abdominal CT scan identified a 5 cm retroperitoneal interaortocaval mass. Complete laparoscopic excision was performed. Pathological study showed localized angiofollicular hyperplasia (hyaline vascular type Castleman’s disease).CONCLUSIONS: The presentation of Castleman’s disease as isolated retroperitonealmass is quite rare and should be distinguished from other retroperitoneal lesions of malignant character. The treatment of choice is surgery, providing a definitive and curative diagnosis. Operative biopsy may be useful.

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Castleman’s disease / Angiofollicular lymph node hyperplasia / Lymphoproliferative disorder

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Eugenio Carlos Carmona Campos , Pilar Moreno Arcas , David Hernandez Alcaraz , Antonio Castro Leon. ENFERMEDAD DE CASTLEMAN. UNA RARA CAUSA DE MASA RETROPERITONEAL SOLITARIA. Archivos Españoles de Urología. 2014, 67(2): 199-203

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