Hyaline-vascular type Castleman's disease involving both orbits.
OBJECTIVE
To describe a patient with hyaline-vascular type Castleman's disease (CD) whose initial examination revealed only upper eyelid mass. Further, to review all aspects of CD.


METHODS
Case report. An 18-year-old woman initially presented with swelling of both upper eyelids. She underwent an anterior orbitotomy with surgical excision followed by close observation.


RESULTS
Histopathological examination of the upper eyelid mass confirmed the presence of hyaline-vascular type CD. One year after surgical treatment, the patient is still asymptomatic, with no pathologic clinical or laboratory findings.


CONCLUSIONS
Castleman's disease is a rare but valid clinical entity. It should be considered in the differential diagnosis of asymptomatic orbital mass. Our understanding of CD has advanced recently. The treatment modalities for CD (e.g. surgical excision, radiation therapy and combination chemotherapy) are usually curative and optimizing. Castleman's disease involving the orbital area is now attracting ophthalmological interest.
Park
Keun-Sung
KS
Department of Ophthalmology, College of Medicine, Chungnam National University, Taejon, South Korea. ksparkmd@cnu.ac.kr
Choi
You-Jin
YJ
Song
Kyu-Sang
KS
D000293:Adolescent; D005871:Castleman Disease / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D005143:Eyelids / Q000473:pathology*; D005260:Female; D006801:Humans; D009916:Orbital Diseases / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome