[Treatment of an abdominal form of Castleman's disease by chemotherapy]

In this report, we present a case of abdominal Castleman's disease determining lymphatic blockade and chylous ascites. On laparotomy, the tumour was considered as unremovable. Management of this unusual case included total parenteral nutrition, corticoïds, cyclophosphamide and antituberculous therapy. This treatment was followed by a dramatic improvement and disappearance of the ascitic effusion. Shrinkage of the tumour was demonstrated by repeated ultrasonography.