Castleman's disease in the pararenal retroperitoneal space, which is indistinguishable from renal cell carcinoma: a case report.
A 29-year-old woman was hospitalized in our institute with the diagnosis of a right renal mass by ultrasonography on medical checkup. Computerized tomography showed a lower pole solid mass (9 cm in diameter), which was enhanced homogeneously, as well as the renal cortex in the arterial phase. The tumor was excised using radical nephrectomy based on the preoperative diagnosis of renal cell carcinoma, and thus lymph node dissection was also performed. The excised tumor was isolated from the kidney in a thin capsule, macroscopically. Postoperative pathological diagnosis revealed hyaline vascular type Castleman's disease. There was no recurrence at 1 year after the operation without any adjuvant therapy because of the complete resection.
Hoshi
Akio
A
Department of Urology, Tokai University School of Medicine.
Nitta
Masahiro
M
Tokunaga
Masatoshi
M
Hoshino
Hideaki
H
Hongo
Sachiko
S
Hanai
Kazuya
K
Nishikawa
Zenkai
Z
Kobayashi
Yasuyuki
Y
Shima
Masanori
M
Hanai
Tadashi
T
Hyochi
Nobuhiko
N
Usui
Yukio
Y
Terachi
Toshiro
T
D000328:Adult; D002292:Carcinoma, Renal Cell / Q000175:diagnosis* / Q000601:surgery; D005871:Castleman Disease / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000175:diagnosis* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D009392:Nephrectomy; D014057:Tomography, X-Ray Computed