CASTLEMAN DISEASE in RETROPERITONEAL SPACE, Dr PHAN THANH HẢI, MEDIC MEDICAL CETER, HCMC, VIETNAM.

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.

SUMMARY:
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.

Advertisements
This entry was posted in ultrasound research. Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s