A Case of Castleman's Disease Arising from the Greater Omentum

대망에서 발생한 Castleman 병의 증례 보고

  • Kang, Eun-Ju (Department of Radiology, Dong-A University College of Medicine)
  • 강은주 (동아대학교병원 영상의학과)
  • Published : 2011.09.01

Abstract

Castleman's disease is a rare benign lymphoproliferative disorder of unknown etiology with about 70% of cases occurring in the thorax. However, the disorder can also occur in an extrathoracic site where lymphoid tissue is present. We report here a rare case of omental Castleman's disease in a 69-year-old female patient, imaged by three cross-sectional modalities: US, CT, and MRI with gadolinium.

Castleman 병은 림프조직증식을 보이는 원인이 잘 알려지지 않은 양성질환으로서 대부분이 흉부에서 발생하지만 림프조직이 있는 흉부 외 조직에서도 발생할 수 있다. 저자는 아주 드물게 보고된 대망을 침범한 Castleman 병을 경험하였기에 US, CT, MRI 소견을 보고하고자 한다.

Keywords

References

  1. Keller AR, Hochholzer L, Castleman B. Hyaline-vascular and plasma-cell types of giant lymph node hyperplasia of the mediastinum and other locations. Cancer 1972;29: 670-683 https://doi.org/10.1002/1097-0142(197203)29:3<670::AID-CNCR2820290321>3.0.CO;2-#
  2. Volta S, Carella I, Gaeta M, Mantineo G, Blandino A. Castleman disease of the greater omentum. AJR Am J Roentgenol 1990;154:654
  3. Castleman B, Towne VW. Case records of the Massachusetts General Hospital; weekly clinicopathological exercises; founded by Richard C. Cabot. N Engl J Med 1954;251: 396-400 https://doi.org/10.1056/NEJM195409022511008
  4. Walter JF, Rottenberg RW, Cannon WB, Sheridan LA, Pizzimenti J, Orr JT. Giant mediastinal lymph node hyperplasia (Castleman's disease): angiographic and clinical features. AJR Am J Roentgenol 1978;130:447-450 https://doi.org/10.2214/ajr.130.3.447
  5. Lowenthal DA, Filippa DA, Richardson ME, Bertoni M, Straus DJ. Generalized lymphadenopathy with morphologic features of Castleman's disease in an HIV-positive man. Cancer 1987;60:2454-2458 https://doi.org/10.1002/1097-0142(19871115)60:10<2454::AID-CNCR2820601018>3.0.CO;2-I
  6. Frizzera G. Castleman's disease and related disorders. Semin Diagn Pathol 1988;5:346-364
  7. Weisenburger DD, Nathwani BN, Winberg CD, Rappaport H. Multicentric angiofollicular lymph node hyperplasia: a clinicopathologic study of 16 cases. Hum Pathol 1985;16: 162-172 https://doi.org/10.1016/S0046-8177(85)80065-4
  8. McCarty MJ, Vukelja SJ, Banks PM, Weiss RB. Angiofollicular lymph node hyperplasia (Castleman's disease). Cancer Treat Rev 1995;21:291-310 https://doi.org/10.1016/0305-7372(95)90034-9
  9. Zhou LP, Zhang B, Peng WJ, Yang WT, Guan YB, Zhou KR. Imaging findings of Castleman disease of the abdomen and pelvis. Abdom Imaging 2008;33:482-488 https://doi.org/10.1007/s00261-007-9282-5
  10. Bartkowski DP, Ferrigni RG. Castleman's disease: an unusual retroperitoneal mass. J Urol 1988;139:118-120 https://doi.org/10.1016/S0022-5347(17)42313-5