A 21 YO FEMALE PATIENT HAVING A MASS AT L L Q, NO PAIN NO FEVER.
ABDOMINAL ULTRASOUND SHOWED AN OVOID MASS SIZE 6CM NEAR AORTIC BIFURCATION, CLOSE BY INNER BORDER OF LEFT PSOAS MUSCLE. THE MASS HAS HYPOECHOIC STRUCTURE WITH LOW VASCULATURE SUPPLY.
FIGURE : AN OVOID HYPOECHOIC MASS TUMOR , LEFT SIDE OF THE AORTA. THE VASCULAR SUPPLY IS ARROUND
THIS MASS. DOPPLER: VERY LOW VASCULAR SUPPLY.
MSCT WITH CONTRAST ENHANCEMENT: VERY QUICK ENHANCE.
RETROPERITONEAL TUMOR HAVING HYPOECHOIC STRUCTURE WITH QUICK CE BY CT.
OPERATION AT CANCER CENTER REMOVED THE WELL-BORDERED MASS.
MICROSCOPIC RESULTS WAS A TYPICAL CASTLEMAN DISEASE OF LYMPH NODE.
Castleman disease is a benign hyperplasia of the lymph node. Commonly manifest as a solitary mediastinal mass. There are two variants: hyalin vascular type and plasma cell type. The hyalin vascular type is commonly unicentric, the other is multicentric disease.
We report a case of 21yo patient with retroperitoneal Castleman disease of the hyalin vascular type. Histological findings show “lopilop” structure and the “target” appearances of lymphoid follicles. She underwent a surgery for excision of the tumor and remains well.