A never previously reported association between mediastinal angiofollicular lymph node hyperplasia (ALNH) of the hyaline vascular type and mucocutaneous manifestations in a twenty-one-year-old man is described. Mucocutaneous lesions, unresponsive to medical therapy, promptly disappeared after resection of the mediastinal mass, indicating, as suggested for the plasmacell type, a close relationship between the systemic manifestations and ALNH.
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Cureus
October 2024
General Surgery, Shri B. M. Patil Medical College Hospital and Research Centre, BLDE (Deemed to be University), Vijayapura, IND.
Castleman's disease (CD) is characterised by benign lymphoepithelial proliferation and is a peculiar form of angiofollicular lymph node hyperplasia rather than a neoplasm or a hamartoma. CD is broadly classified as unicentric CD (UCD) and multicentric CD. In the unicentric variant, patients have localised disease affecting only a single lymph node or a group of adjacent nodes in a single region, which clinically presents as an enlarging mass without any other significant symptoms.
View Article and Find Full Text PDFFront Oncol
August 2024
Department of Colorectal and Anal Surgery, Second Affiliated Hospital of Jilin University, Changchun, Jilin, China.
Castleman disease (CD), also known as giant lymph node hyperplasia or angiofollicular lymph node hyperplasia, is a rare and indeterminate group of chronic lymphoproliferative disorders. CD is highly heterogeneous, classified into unicentric Castleman disease (UCD) and multicentric Castleman disease (MCD) based on lesion distribution, and further categorized into three pathological types: hyaline vascular type (HV), plasma cell type (PC), and mixed type (Mix). This paper describes a rare case of solitary mediastinal Castleman disease with transparent vessels in the anterior sacrum, presenting as the HV type.
View Article and Find Full Text PDFOrv Hetil
September 2023
3 Szegedi Tudományegyetem, Általános Orvostudományi Kar, Sebészeti Klinika Szeged Magyarország.
Castleman disease is an uncommon lymphoproliferative disorder, located most commonly in the mediastinal lymph nodes. The intrapulmonary presentation is extremely rare, with 14 published cases in the English literature. The clinical presentation of the disorder is not specific and the diagnosis is often challenging.
View Article and Find Full Text PDFJ Cancer Res Ther
January 2023
Department of Pathology, Sri Ramachandra Medical College, Chennai, Tamil Nadu, India.
Castleman's disease is a rare angio-follicular lymph node hyperplasia[1,2] have varying presentation and can mimic malignancy. The common locations are mediastinum, neck, axilla, and pelvis but extra nodal sites can also be affected.[3] A 56-year-old patient incidentally found to have mass in the retroperitoneal region by Contract-enhanced computerized tomography (CT).
View Article and Find Full Text PDFCureus
December 2021
Internal Medicine, King Fahad University Hospital, Al Khobar, SAU.
Castleman's disease is a disorder of the lymph nodes that encompasses heterogeneous clinical conditions and can be classified into two main types - hyaline vascular and plasma cell. The affected age group ranges widely from two to 80 years old at the time of diagnosis, with a variable clinical presentation. The etiology of Castleman's disease is not yet well-understood; however, a number of factors have been linked to its pathogenesis including certain cytokines, viral infections, autoimmunity, immunodeficiency, chronic inflammation, and Kaposi sarcoma.
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