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Unicentric Castleman's disease: a surprising neck mass
J L O'Donnell1, F P Henry, E Kavanagh
1RCSI Dept of Surgery, Beaumont Hospital, Dublin. jillodon@hotmail.com
Irish Journal of Medical Science
|April 18, 2006
Abstract
Background:
We present the case of a 36-year-old female with a three-week history of a pulsatile, tender mass in the anterior triangle of the neck.
Methods:
Radiology demonstrated that this was a vascular tumour deep to the sternocleidomastoid muscle.
Results:
Pre-operative embolisation and complete surgical resection was performed. Histology revealed Castleman's disease.
Conclusion:
Unicentric hyaline vascular Castleman's disease is an unusual cause of neck mass. Surgical resection remains the best chance for cure in unicentric disease. Long term follow-up is necessary as the risk of subsequent malignancy exists.
