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Abdominal localization of unicentric form of Castleman disease: A case report
Introduction. Castleman disease is a rare disease of the unknown etiology,
occuring in two clinical forms: unicentric or multicentric. It is
characterized by the hyperplasia of lymph glands. In literature the four
pathohistological forms were described: hyaline vascular type, plasma cell
type, mixed type and a recently recognized plasmablastic type. The most
frequent changes are localized in the mediastinum, while the abdominal
localization is with significatly rare occurrence, and that was the motive
for presentation of this case. Case report. In a 41-year old male magnetic
resonance (MR) enterography showed a change in the ileocecal area without the
presence of subjective symptoms of digestive tract and without loss of body
mass. Due to the suspicion of stromal tumor, surgical intervention was
indicated. Pathohistological findings showed Castleman lymphadenopathia
reactiva mesenterii (plasma cell type) which was in the unicentric form.
There were present only anaemia and the increased value of sedimentation from
the laboratory analyses. Conclusion. Abdominal localization of unicentric
plasma cell form occurs rarely and the surgical method of treatment presents
the golden standard as it was shown in the presented case