Unicentric Castleman’s disease in the posterior cervical space mimicking a schwannoma

ABSTRACT: Introduction. Castleman's disease (CD) is a benign and rare lymphoid tissue disease of undetermined origin. It affects the neck infrequently; therefore its preoperative diagnosis is difficult and can be confused with other hypervascular lesions. Case report We present a case of unicentric hyaline-vascular CD in the posterior cervical space (PCS) evaluated by MRI and initially presumed to be a cervical schwannoma. Discussion As shown with our case, unicentric CD should be included in the differential diagnosis for masses in the PCS, especially when a hypervascular lesion like a schwannoma is suspected. The finding of central low intensity areas in a fissured and radial pattern in T2 sequences can help to consider CD when dealing with PCS masses as shown by previous cases and our reported experience.

• Autores: Sanabria Quiroga, Álvaro Enrique; Ochoa Escudero, Martín; Herrera, D. A.; Dublin, A. B.
• Tipo de recurso: Article of investigation
• Fecha de publicación: 2016
• Institución: Universidad de Antioquia
• Repositorio: Repositorio UdeA
• Idioma: eng
• OAI Identifier: oai:bibliotecadigital.udea.edu.co:10495/39046
• Acceso en línea: https://hdl.handle.net/10495/39046
• Palabra clave: Enfermedad de Castleman; Castleman Disease; Diagnóstico Diferencial; Diagnosis, Differential; Imagen por Resonancia Magnética; Magnetic Resonance Imaging; Neurilemoma; Neurilemmoma; Neoplasias de la Columna Vertebral; Spinal Neoplasms; https://id.nlm.nih.gov/mesh/D005871; https://id.nlm.nih.gov/mesh/D003937; https://id.nlm.nih.gov/mesh/D008279; https://id.nlm.nih.gov/mesh/D009442; https://id.nlm.nih.gov/mesh/D013125
• Rights: openAccess
• License: http://creativecommons.org/licenses/by-nc-nd/2.5/co/