Multicentric Castleman's disease found by a retroperitoneal tumor

A case report

Y. Maki, M. Takamatsu, T. Oheda, Yasutomo Nasu, H. Ohmori

Research output: Contribution to journalArticle

Abstract

A 56-year-old man was admitted to our hospital with a 14 month history of intermittent left-sided lumbago and night sweating. Two months prior to admission, the patient was incidentally found to have a retroperitoneal tumor at a local hospital. Computed tomography (CT) and magnetic resonance imaging (MRI) confirmed a calcified solid retroperitoneal mass separate from the kidney, without invasion of any adjacent organs, together with multicentric lymphadenopathy in the retroperitoneum and the mediastinum. There were also left sided pleural effusion and splenomegaly. Admission laboratory tests, including complete blood count and serum chemistry panel, were unremarkable except for an elevated erythrocyte sedimentation rate. Percutaneous biopsy of the retroperitoneal tumor showed a hyalinized germinal center and marked proliferation of small vessels. Together with these findings, a clinical diagnosis of multicentric Castleman's disease (MCI) was made. Surgical excision of the retroperitoncal mass revealed a lobulated yellow tumor with a diffuse and rich vascularity. Histological examination of the excised mass confirmed its similarities with those of the hyaline vascular variant of Castleman's disease. Although Castleman's disease generally has a good prognosis, MCD is associated with significant morbidity and mortality. In our case, the size of the residual lymph nodes has been decreasing since surgery and the patient has remained free from disease for 10 months.

Original languageEnglish
Pages (from-to)929-932
Number of pages4
JournalNishinihon Journal of Urology
Volume57
Issue number8
Publication statusPublished - 1995

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Giant Lymph Node Hyperplasia
Neoplasms
Hyalin
Sweating
Germinal Center
Blood Cell Count
Patient Admission
Blood Sedimentation
Splenomegaly
Mediastinum
Pleural Effusion
Low Back Pain
Blood Vessels
Lymph Nodes
Tomography
Magnetic Resonance Imaging
Morbidity
Kidney
Biopsy
Mortality

Keywords

  • multicentric Castleman's disease
  • retroperitoneal tumor

ASJC Scopus subject areas

  • Urology

Cite this

Multicentric Castleman's disease found by a retroperitoneal tumor : A case report. / Maki, Y.; Takamatsu, M.; Oheda, T.; Nasu, Yasutomo; Ohmori, H.

In: Nishinihon Journal of Urology, Vol. 57, No. 8, 1995, p. 929-932.

Research output: Contribution to journalArticle

Maki, Y, Takamatsu, M, Oheda, T, Nasu, Y & Ohmori, H 1995, 'Multicentric Castleman's disease found by a retroperitoneal tumor: A case report', Nishinihon Journal of Urology, vol. 57, no. 8, pp. 929-932.
Maki, Y. ; Takamatsu, M. ; Oheda, T. ; Nasu, Yasutomo ; Ohmori, H. / Multicentric Castleman's disease found by a retroperitoneal tumor : A case report. In: Nishinihon Journal of Urology. 1995 ; Vol. 57, No. 8. pp. 929-932.
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