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Surgical challenges of Castleman's disease of the pelvis
Sat Prasad Nepal1, Takeshi Shichijo1, Yoshio Ogawa1
1Department of Urology, Showa University, School of Medicine, Japan.
Insights
Castleman's disease (CD) is a rare lymphoproliferative disorder. This report details a unique pelvic CD case, successfully treated with surgery and showing no recurrence after 10 years.
Area of Science:
- Oncology
- Pathology
- Surgical Gastroenterology
Background:
- Castleman's disease (CD) is a rare lymphoproliferative disorder.
- Typically affects the mediastinum, neck, axilla, and abdomen.
- Retroperitoneal and pelvic CD are exceptionally rare.
Abstract:
Castleman's disease (CD) is a unique lymphoproliferative disorder. It commonly occurs in the mediastinum, neck, axilla, and abdomen, and retroperitoneal involvement is rare. Here we report a unique case of CD in the pelvis. Laparotomy was performed and surgery was complicated by adhesions and vascularity. Total surgical duration was Five hours and 45 min with 4.5 L of blood loss. Ten pints of blood was transfused. The mass was histopathologically diagnosed as hyaline-vascular CD. The patient was free of recurrence after 10 years of follow-up.
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