Thursday, 20 October 2016

Hyaline-Vascular Variant Castleman Disease

A 48 year old male without any previous medical history had abdominal discomfort. On ultrasonography (US) and contrast enhanced computed tomography (CT), intra-abdominal mass located in between liver and stomach was founded.

Variant Castleman Disease
Tumour markers including AFP, CEA, CA 19-9, CA 125, and NSE were within normal range. To figure out regional relationship between mass and adjacent structures, endoscopic ultrasonography (EUS) and magnetic resonance imaging (MRI) were performed.

EUS revealed a mass separated from serosa of stomach, suspicious for gastrointestinal stromal tumour (GIST). MRI revealed a lobulated contour calcification containing solid mass, suspicious for carcinoid, hemangioma, or GIST.

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