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Published on: March 31, 2023
Castleman disease in the scrotum
Zhen Song1, Zhiyu Zhang1, Wenliang Xie1
1Department of Urology, The First Affiliated Hospital of Soochow University Suzhou, Jiangsu, 215000, China.
Insights
Castleman disease (CD), a rare lymphoproliferative disorder, has not been previously reported in the scrotum. This case highlights a 79-year-old man diagnosed with plasma cell type Castleman disease in the scrotum.
Area of Science:
- Oncology
- Pathology
- Urology
Background:
- Castleman disease is a rare lymphoproliferative disorder affecting lymph nodes.
- Scrotal involvement by Castleman disease is undocumented in medical literature.
Observation:
- A 79-year-old male presented with a painless, hard, enlarging right scrotal mass over one year.
- Abdominopelvic CT revealed a 10 cm heterogeneously enhancing right scrotal mass.
Findings:
- Surgical resection of the scrotal mass was performed.
- Pathological diagnosis confirmed Castleman disease, specifically the plasma cell (PC) subtype.
Implications:
- This case expands the known anatomical sites for Castleman disease.
- It underscores the importance of considering rare diagnoses in scrotal masses.
- Further research may be needed to understand the pathogenesis of extranodal Castleman disease.
Abstract:
Castleman disease (CD) is a rare lymphoproliferative disorder that can affect any lymph node in the body, but CD occurring in the scrotum has not been reported to date. We report the case of a 79-year-old man with a painless hard mass in the right scrotum that has been gradually increasing in size for more than 1 year. Abdominopelvic CT scan showed a heterogeneously enhancing mass of 10 cm long in the right scrotum. The patient underwent resection of the right scrotal mass and the pathological diagnosis was Castleman's disease, plasma cell (PC) type.
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