Visualization of central stellate fibrosis in hyaline vascular type Castleman's disease.
Hyaline vascular type Castleman's disease (HVCD) is a benign cause of lymph node hypertrophy which radiologically resembles tumours such as paraganglioma and lymphoma. However, a distinguishing pathological characteristic of HVCD is the presence of central stellate fibrosis. Since conventional CT and MRI scans failed to differentiate areas of fibrosis, three-phase dynamic CT was performed on a patient who was thought to have HVCD. The images showed central fibrosis and consequently the correct pre-operative diagnosis of HVCD was made.
Ota
T
T
Department of Radiology, Shiga University of Medical Science, Japan.
Mitsuyoshi
A
A
Zaima
M
M
Mizuno
M
M
Morita
R
R
D000328:Adult; D005871:Castleman Disease / Q000000981:diagnostic imaging*; D005355:Fibrosis; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology*; D008297:Male; D014057:Tomography, X-Ray Computed