Symptomatic mesentery Castleman disease mimicking a pancreatic tumor.
Castleman disease (CD) is an uncommon lymphoproliferative disorder of unknown etiology. It can be localized or multicentric. There are two major histological variants. The hyaline-vascular type predominates in the thorax and the mesenteric disease is usually of the plasma cell type. Hyaline-vascular CD of the mesentery is very rare. We report such a neoplasm of mesenteric root in a 38-year-old woman who presented with abdominal discomfort. Dynamic magnetic resonance imaging (MRI) of CD has rarely been reported previously. The imaging findings of CD on computed tomograms, MR images and angiograms were described.
Su
I-Hao
IH
Department of Diagnostic Radiology, Chang Gung Memorial Hospital at Linkou, College of Medicine and School of Medical Technology, Chang-Gung University, Taoyuan 333, Taiwan.
Wan
Yung-Liang
YL
Pan
Kuang-Tse
KT
Hung
Chein-Fu
CF
Tseng
Jeng-Hwei
JH
Hsieh
Chi-Hsun
CH
Liu
Nai-Jen
NJ
D000328:Adult; D005871:Castleman Disease / Q000175:diagnosis* / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D010190:Pancreatic Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed