Abstract
Objective
We describe CT features of our three cases with localized Castleman disease in the retroperitoneum and review literature. Besides those CT features, which have been reported before, we mainly present some newly discovered CT findings of the disease. These new CT findings include the sign of peripheral ‘rim-like’ enhancement at the early phase of an enhanced CT scan, a higher ratio of the left sided retroperitoneal location to the right side and the presence of local peritoneal thickening around the lesion. In addition, the feeding artery of the lesion is more visually pronounced than ever before by a 16-detector CT scanner.
Conclusion
After reviewing the literature and comparing with their histological findings, we suggest these newly discovered findings are relatively characteristic CT features of the disease. Moreover, multi-detector helical CT can now show more details of the disease than ever before.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Castleman B, Towne VW (1954) Case records of the Massachusetts General Hospital: case 40011. N Engl J Med 250:26–30
Toni LM, John KMCT (2000) Features of Castleman disease of the abdomen and pelvis. AJR 175:115–118
Jung KT, Koo HJ, Hoon KY et al (2001) Castleman disease of the abdomen: imaging spectrum and clinicopathologic correlations. JCAT 25:207–214
Wang R, Wang Y, Tan G et al (2002) Localized Castleman’s disease of the abdomen: CT and histo-pathologic correlation. J Chin Radiol 36:159–162
Irsutli M, Paul JL, Selves J et al (1999) Castleman disease: CT and MR imaging features of a retroperitoneal location in association with paraneoplastic pemphigus. Eur Radiol 9:1219–1221
Ota T, Mitsuyoshi A, Zaima A et al (1997) Visualization of central stellate fibrosis in hyaline vascular type Castleman disease. Br J Rad. 70:1060–1062
Johnson WK, Ros PR, Powers C, Stoupis C, Segel KH (1994) Castleman disease mimicking an aggressive retroperitoneal neoplasm. Abdom Imaging 19:342–344
Wen L, Zhang D, Zhang ZG (2005) CT characteristics of cervical Castleman’s disease. Clin Imaging 29:141–143
Inoue Y, Nakamura H, Yamazaki K et al (1992) Retroperitoneal Castleman’s tumors of hyaline vascular type: imaging study. Case report. Clin Imaging 16: 239–244
Chaulin B, Pontais C, Laurent F et al (1994) Pancreatic Castleman disease: CT Findings. Abdom Imaging 19:160–161
Teh HS, Lin MB, Tan AS et al (2000) Retroperitoneal Castleman’s disease in the perinephric space-imaging appearance: a case report and a review of the literature. Ann Acad Med Singapore 29: 773–776
Lewis WH (2000) The lymphatics of the abdomen and pelvis. In: Gray’s anatomy of the human body, 20th edn, New York. [E-book] Bartleby.com
Acknowledgments
Micheal Zhou PhD, Alex Chao MD, for their assistance in checking and reviewing this paper while I’m studying and training in the Image Processing and Informatics Laboratory, University of Southern California, USA.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Zheng, X., Pan, K., Cheng, J. et al. Localized Castleman disease in retroperitoneum: newly discovered features by multi-detector helical CT. Abdom Imaging 33, 489–492 (2008). https://doi.org/10.1007/s00261-007-9273-6
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00261-007-9273-6