Abdominal Mass Caused Failure to Thrive in a Young Boy: Mixed-Type Localized Retroperitoneal Castleman Disease

Castleman disease is a rare cause of retroperitoneal mass in children. Clinical presentation and laboratory findings are usually nonspecific. Imaging shows features of a hypervascular or soft tissue mass. We present a 12-year-old boy who complained of frequent colds, fatigue, and failure to gain wei...

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Main Authors: Bahar Ashjaei, Afshar Ghamari Khameneh, Gisoo Darban Hosseini Amirkhiz
Format: Article
Language:English
Published: Karger Publishers 2020-07-01
Series:Case Reports in Oncology
Subjects:
Online Access:https://www.karger.com/Article/FullText/508531
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author Bahar Ashjaei
Afshar Ghamari Khameneh
Gisoo Darban Hosseini Amirkhiz
author_facet Bahar Ashjaei
Afshar Ghamari Khameneh
Gisoo Darban Hosseini Amirkhiz
author_sort Bahar Ashjaei
collection DOAJ
description Castleman disease is a rare cause of retroperitoneal mass in children. Clinical presentation and laboratory findings are usually nonspecific. Imaging shows features of a hypervascular or soft tissue mass. We present a 12-year-old boy who complained of frequent colds, fatigue, and failure to gain weight for the past 4 years who was referred to our hospital. Anemia and hypergammaglobulinemia were revealed in laboratory tests. Imaging showed a well-delineated retroperitoneal soft tissue mass with intense homogenous enhancement at the midline below the aortic bifurcation. The histopathological features were consistent with mixed type unicentric Castleman disease. Surgical removal was curative. Our patient’s hematological abnormalities resolved, and he gained 10 kg in the next 4 weeks after the operation and reached the 25–50th percentile for his age.
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spelling doaj.art-a313e16513da4a3e87eecff4aab64c192022-12-21T19:16:16ZengKarger PublishersCase Reports in Oncology1662-65752020-07-0113285385610.1159/000508531508531Abdominal Mass Caused Failure to Thrive in a Young Boy: Mixed-Type Localized Retroperitoneal Castleman DiseaseBahar AshjaeiAfshar Ghamari KhamenehGisoo Darban Hosseini AmirkhizCastleman disease is a rare cause of retroperitoneal mass in children. Clinical presentation and laboratory findings are usually nonspecific. Imaging shows features of a hypervascular or soft tissue mass. We present a 12-year-old boy who complained of frequent colds, fatigue, and failure to gain weight for the past 4 years who was referred to our hospital. Anemia and hypergammaglobulinemia were revealed in laboratory tests. Imaging showed a well-delineated retroperitoneal soft tissue mass with intense homogenous enhancement at the midline below the aortic bifurcation. The histopathological features were consistent with mixed type unicentric Castleman disease. Surgical removal was curative. Our patient’s hematological abnormalities resolved, and he gained 10 kg in the next 4 weeks after the operation and reached the 25–50th percentile for his age.https://www.karger.com/Article/FullText/508531castleman diseaseretroperitoneumpediatricfailure to thriveanemia
spellingShingle Bahar Ashjaei
Afshar Ghamari Khameneh
Gisoo Darban Hosseini Amirkhiz
Abdominal Mass Caused Failure to Thrive in a Young Boy: Mixed-Type Localized Retroperitoneal Castleman Disease
Case Reports in Oncology
castleman disease
retroperitoneum
pediatric
failure to thrive
anemia
title Abdominal Mass Caused Failure to Thrive in a Young Boy: Mixed-Type Localized Retroperitoneal Castleman Disease
title_full Abdominal Mass Caused Failure to Thrive in a Young Boy: Mixed-Type Localized Retroperitoneal Castleman Disease
title_fullStr Abdominal Mass Caused Failure to Thrive in a Young Boy: Mixed-Type Localized Retroperitoneal Castleman Disease
title_full_unstemmed Abdominal Mass Caused Failure to Thrive in a Young Boy: Mixed-Type Localized Retroperitoneal Castleman Disease
title_short Abdominal Mass Caused Failure to Thrive in a Young Boy: Mixed-Type Localized Retroperitoneal Castleman Disease
title_sort abdominal mass caused failure to thrive in a young boy mixed type localized retroperitoneal castleman disease
topic castleman disease
retroperitoneum
pediatric
failure to thrive
anemia
url https://www.karger.com/Article/FullText/508531
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