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Castleman’s Disease of the Rectum: Report of a Case

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Diseases of the Colon & Rectum

Abstract

Gastrointestinal Castleman’s disease is very rare. We report the case of a 52-year-old patient with asymptomatic rectal polyp, which was diagnosed as Castleman’s disease. The rectal polyp was identified during preoperative workup of gastric adenocarcinoma. The rectal polyp was 4-cm long with a short, thick stalk. Pathologic examination of the resected polyp showed lymph follicle hyperplasia with remarkable lymphocyte and plasma cell infiltration in the submucosal area, consistent with plasma cell type of Castleman’s disease. This is the first report of Castleman’s disease of the rectum concomitant with gastric adenocarcinoma. A literature review of Castleman’s disease identified only five cases of gastrointestinal Castleman’s disease, and all five cases were of the hyaline vascular type. A high index of suspicion of this disease is important for preoperative diagnosis.

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Authors and Affiliations

  1. Department of Surgery and Clinical Oncology, Osaka University, Osaka, Japan

    Taishi Hata M.D., Ph.D., Masataka Ikeda M.D., Ph.D., Masayoshi Yasui M.D., Tatsushi Shingai M.D., Hirofumi Yamamoto M.D., Ph.D., Masayuki Ohue M.D., Ph.D., Mitsugu Sekimoto M.D., Ph.D. & Morito Monden M.D., Ph.D.

  2. Department of Surgery, Osaka National Hospital, Osaka, Japan

    Masakazu Ikenaga M.D., Ph.D.

  3. Department of Pathology, Graduate School of Medicine, Osaka University, Osaka, Japan

    Yoshihiko Hoshida M.D., Ph.D. & Katsuyuki Aozasa M.D., Ph.D.

  4. Department of Surgery and Clinical Oncology (E2), Graduate School of Medicine, Osaka University, 2-2 Yamadaoka Suita, Osaka, 565-0871, Japan

    Masataka Ikeda M.D., Ph.D.

Authors
  1. Taishi Hata M.D., Ph.D.
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  2. Masataka Ikeda M.D., Ph.D.
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  3. Masakazu Ikenaga M.D., Ph.D.
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  4. Masayoshi Yasui M.D.
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  5. Tatsushi Shingai M.D.
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  6. Hirofumi Yamamoto M.D., Ph.D.
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  7. Masayuki Ohue M.D., Ph.D.
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  8. Mitsugu Sekimoto M.D., Ph.D.
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  9. Yoshihiko Hoshida M.D., Ph.D.
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  10. Katsuyuki Aozasa M.D., Ph.D.
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  11. Morito Monden M.D., Ph.D.
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Corresponding author

Correspondence to Masataka Ikeda M.D., Ph.D..

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Hata, T., Ikeda, M., Ikenaga, M. et al. Castleman’s Disease of the Rectum: Report of a Case. Dis Colon Rectum 50, 389–394 (2007). https://doi.org/10.1007/s10350-006-0783-z

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  • DOI: https://doi.org/10.1007/s10350-006-0783-z

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