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Mesenteric Castleman's disease mimicking neuroendocrine tumour
Ricky H Bhogal1, Andrew Wotherspoon2, Aamir K Khan1
1Department of Academic Surgery, The Royal Marsden Hospital, Fulham Road, London, SW3 6JJ, United Kingdom.
Introduction:
Castleman's disease is a rare entity and is a benign hyperplastic enlargement of lymph nodes. It can occur anywhere within the body but only approximately 50 cases of mesenteric Castleman's disease have been reported within the literature.
Case Presentation:
We report a female patient who was thought to have developed a neuroendocrine tumour within the small bowel and a large nodal mass within the mesentery based on nuclear scintigraphy imaging. Following surgical resection the nodal mass found confirmed to be Castleman's disease.
Discussion:
Although rare complete resection of mesenteric Castleman's disease offer excellent long term outcome although the diagnosis may only be made after surgery.
Conclusion:
The diagnosis of mesenteric Castleman's disease is often made post-operatively but complete surgical resection offers excellent long-term survival.
