Open AccessA Case of Castleman's Disease Mimicking a Hepatocellular Carcinoma: A Case Report and Review of Literature
Author(s) -
Sung Yeol Jang,
Bo Hyun Kim,
Jung Hee Kim,
Sung-Hae Ha,
Jeong Ah Hwang,
Jae Woo Yeon,
Ki Ho Kim,
So Ya Paik
Publication year - 2012
Publication title -
korean journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.203
H-Index - 25
eISSN - 2233-6869
pISSN - 1598-9992
DOI - 10.4166/kjg.2012.59.1.53
Subject(s) - medicine , hepatocellular carcinoma , differential diagnosis , castleman disease , rare disease , magnetic resonance imaging , radiology , pathology , chronic liver disease , lymph , hepatitis , disease , cirrhosis , gastroenterology
Castleman's disease is a rare disease characterized by lymph node hyperplasia. Although Castleman's disease can occur wherever lymphoid tissue is found, it rarely appears in the abdominal cavity, and is especially rare adjacent to the liver. Here, we report a rare case of Castleman's disease in the portal area that mimicked a hepatocellular carcinoma (HCC) in a chronic hepatitis B patient. A 40 year-old woman with chronic hepatitis B presented with right upper quadrant discomfort. Computed tomography and magnetic resonance imaging results showed a 2.2 cm-sized, exophytic hypervascular mass in the portal area. HCC was suspected. However, histologic examination revealed Castleman's disease. We suggest that Castleman's disease should be included as a rare differential diagnosis of a hypervascular mass in the portal area, even in patients with chronic hepatitis B.
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