Retroperitoneal Castleman's disease.
A 56-year-old postmenopausal woman with a history of colon cancer status after left hemicolectomy presented to our institution with abdominal pain, early satiety, and weight loss. Computerized tomography scan showed a large, enhancing, fat-containing mass displacing the left kidney posteriolaterally suspicious for a retroperitoneal liposarcoma. The lesion was also encasing the renal hilum. The patient underwent a wide excision of the mass as well as a radical nephrectomy and lymph node dissection by means of a thoracoabdominal approach. Final pathology revealed a large lymphatic mass consistent with Castleman's disease.
Department of Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA.
A Ari
AA
Hakimi
Izak
I
Faiena
Ronald N
RN
Kaleya
Reza
R
Ghavamian
D000230:Adenocarcinoma / Q000601:surgery; D005871:Castleman Disease / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000601:surgery; D003110:Colonic Neoplasms / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008080:Liposarcoma / Q000175:diagnosis; D008197:Lymph Node Excision; D008875:Middle Aged; D009392:Nephrectomy; D011183:Postoperative Complications / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000601:surgery; D011859:Radiography; D012186:Retroperitoneal Neoplasms / Q000175:diagnosis; D012187:Retroperitoneal Space