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Japanese Journal of Clinical Oncology Advance Access originally published online on May 31, 2005
Japanese Journal of Clinical Oncology 2005 35(6):353-356; doi:10.1093/jjco/hyi092
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© 2005 Foundation for Promotion of Cancer Research

Case Report

Castleman's Disease in the Left Upper Retroperitoneal Space Mimicking an Adrenal Neoplasm: Report of a Case and Literature Review

Jia-Hui Chen1,4, Chih-Yung Yu2, Chien-Yu Pai3, De-Chuan Chan1, Chung-Jueng Chen1, Jyh-Cherng Yu1 and Yao-Chi Liu1

1 Division of General Surgery, Department of Surgery, 2 Department of Radiology and 3 Department of Pathology, Tri-Service General Hospital, National Defense Medical Center, Taipei and 4 Department of Surgery, Hualien Armed Forces General Hospital, Hualien, Taiwan, Republic of China

For reprints and all correspondence: Yao-Chi Liu, Division of General Surgery, Tri-Service General Hospital, No. 325, Sec. 2, Chen-Kung Rd, Neihu 114, Taipei, Taiwan, Republic of China. E-mail: procto77{at}yahoo.com.tw

Received December 21, 2004; accepted January 31, 2005

Castleman's disease is a rare disorder characterized by benign proliferation of lymphoid tissue. Most cases occur as a mediastinal mass, although extrathoracic involvement including nodal and extranodal locations has been reported. The left suprarenal location of this localized disease may be mistaken for an adrenal tumor. We report a case of a 51-year-old woman with a Castleman's tumor located superomedial to the upper pole of the left kidney that mimicked an adrenal neoplasm.

Key Words: Castleman's disease • giant lymph node hyperplasia • mimicking adrenal neoplasm


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