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Rev Med Inst Mex Seguro Soc. 2017 Sep-Oct;55(5):660-665.

[Unicentric Castleman's disease in cervical back space neck].

[Article in Spanish; Abstract available in Spanish from the publisher]

Author information

1
Curso de Alta Especialidad en Resonancia Magnética de Cuerpo Completo, Hospital Ángeles del Pedregal, Ciudad de México, México jennychaos@hotmail.com.

Abstract

in English, Spanish

BACKGROUND:

Castleman´s disease is a rare, benign condition of lymphoid tissue. There are two clinical types: unicentric and multicentric with three histological variants, hyaline-vascular, plasma celular and mixed. The most common sites of this are mediastinum, adbomen and neck. Magnetic resonance imaging is well suited to depict the characteristics of the masses and their relationship to adjacent structures. The knowledge of this disease and its inclusión in the differential diagnosis from other neck masses will contribute to the therapeutic approach.

CLINICAL CASE:

A 21 years old female patient with a left neck mass characterized by magnetic resonance as solid, heterogeneous, vascularized lesión, pre dominantly isointensa on T1-weighted images an high signal on T2-weighted images and fat sat that demonstrate moderate enhancement after contraste material administration located in posterior space of the neck with extensión at thoracic outlet displacing structures of carotid, anterior cervical and viceral spaces. She underwent complete surgical resectión of the mass with histopathological diagnosis of hyaline-vascular type of Castleman´s disease.

CONCLUSION:

Magnetic resonance is well suited to depict characteristic and the extent of mass in the neck contributing to narrow the differential diagnosis. Imaging findings, especially of magnetic resonance are very important to choose the treatment of Castleman´s disease.

KEYWORDS:

Giant lymph node hyperplasia; Lymphoproliferative disorders; Magnetic resonance; Neck

PMID:
29193950
[Indexed for MEDLINE]

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