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Japanese Journal of Clinical Oncology Advance Access published online on May 31, 2005
Japanese Journal of Clinical Oncology, doi:10.1093/jjco/hyi092
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© 2005 Foundation for Promotion of Cancer Research
Received December 21, 2004
Accepted January 31, 2005

Case Report

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

Jia-Hui Chen 1, Chih-Yung Yu 2, Chien-Yu Pai 3, De-Chuan Chan 4, Chung-Jueng Chen 4, Jyh-Cherng Yu 4, and Yao-Chi Liu 4*

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

* To whom correspondence should be addressed.
Yao-Chi Liu, E-mail: procto77{at}yahoo.com.tw


  Abstract

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.

Keywords: Castleman's disease; giant lymph node hyperplasia; mimicking adrenal neoplasm.
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