Laparoscopic treatment of abdominal unicentric castleman’s disease: a case report and literature review
Abstract Background Castleman’s disease is a rare lymphoproliferative disorder of unknown etiology that most commonly presents as a mediastinal nodal mass. It is exceptionally uncommon for Castleman’s disease to present in the mesentery and, only 53 cases have ever been described in the literature....
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| Format: | Article |
| Language: | English |
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BMC
2017-04-01
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| Series: | BMC Surgery |
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| Online Access: | http://link.springer.com/article/10.1186/s12893-017-0238-6 |
| _version_ | 1819093196236390400 |
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| author | Umberto Bracale Francesco Pacelli Marco Milone Umberto Marcello Bracale Maurizio Sodo Giovanni Merola Teresa Troiani Enrico Di Salvo |
| author_facet | Umberto Bracale Francesco Pacelli Marco Milone Umberto Marcello Bracale Maurizio Sodo Giovanni Merola Teresa Troiani Enrico Di Salvo |
| author_sort | Umberto Bracale |
| collection | DOAJ |
| description | Abstract Background Castleman’s disease is a rare lymphoproliferative disorder of unknown etiology that most commonly presents as a mediastinal nodal mass. It is exceptionally uncommon for Castleman’s disease to present in the mesentery and, only 53 cases have ever been described in the literature. Standard treatment for this lymphoproliferative disorder involving a single node is a complete “en bloc” surgical resection which has proven to be a curative approach in almost all cases without recurrence after 20 years of follow up. All 53 reported cases of mesenteric Castleman’s disease, except one, were treated with laparotomy. Case presentation We report on a case of mesenteric Castleman’s disease localized in the mesentery which is the second reported case if its kind and was treated by a laparoscopic-assisted procedure. Our female patient had an uneventful postoperative course and was discharged in the 5th post-operative day. No signs of recurrence were present as evidenced by physical examination and total body CT scan 24 months after the operation. We compare our case with the other reported cases in which Castleman’s disease presented as an isolated mass in the abdomen. Conclusion Although a rare disease, Unicentric Castleman’s disease should always be considered when a solid asymptomatic abdominal mass is occasionally presented. The laparoscopic approach (LA) allows for the achievement of better results than open surgery, including a reduction in postoperative pain and length of hospital stay. In cases of masses of an uncertain nature, LA must be considered the last diagnostic tool and the first treatment one. |
| first_indexed | 2024-12-21T23:07:40Z |
| format | Article |
| id | doaj.art-fd8bc4fbfeca48c884b44c5fc493bb7b |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-12-21T23:07:40Z |
| publishDate | 2017-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-fd8bc4fbfeca48c884b44c5fc493bb7b2022-12-21T18:47:08ZengBMCBMC Surgery1471-24822017-04-011711810.1186/s12893-017-0238-6Laparoscopic treatment of abdominal unicentric castleman’s disease: a case report and literature reviewUmberto Bracale0Francesco Pacelli1Marco Milone2Umberto Marcello Bracale3Maurizio Sodo4Giovanni Merola5Teresa Troiani6Enrico Di Salvo7Department of Surgical Specialities and Nefrology, University “Federico II” of NaplesDepartment of Surgical Specialities and Nefrology, University “Federico II” of NaplesDepartment of Surgical Specialities and Nefrology, University “Federico II” of NaplesDepartment of Surgical Specialities and Nefrology, University “Federico II” of NaplesDepartment of Surgical Specialities and Nefrology, University “Federico II” of NaplesDepartment of Surgical Specialities and Nefrology, University “Federico II” of NaplesDepartment of Clinical and Experimental Medicine ‘F. Magrassi’, Second University of NaplesDepartment of Surgical Specialities and Nefrology, University “Federico II” of NaplesAbstract Background Castleman’s disease is a rare lymphoproliferative disorder of unknown etiology that most commonly presents as a mediastinal nodal mass. It is exceptionally uncommon for Castleman’s disease to present in the mesentery and, only 53 cases have ever been described in the literature. Standard treatment for this lymphoproliferative disorder involving a single node is a complete “en bloc” surgical resection which has proven to be a curative approach in almost all cases without recurrence after 20 years of follow up. All 53 reported cases of mesenteric Castleman’s disease, except one, were treated with laparotomy. Case presentation We report on a case of mesenteric Castleman’s disease localized in the mesentery which is the second reported case if its kind and was treated by a laparoscopic-assisted procedure. Our female patient had an uneventful postoperative course and was discharged in the 5th post-operative day. No signs of recurrence were present as evidenced by physical examination and total body CT scan 24 months after the operation. We compare our case with the other reported cases in which Castleman’s disease presented as an isolated mass in the abdomen. Conclusion Although a rare disease, Unicentric Castleman’s disease should always be considered when a solid asymptomatic abdominal mass is occasionally presented. The laparoscopic approach (LA) allows for the achievement of better results than open surgery, including a reduction in postoperative pain and length of hospital stay. In cases of masses of an uncertain nature, LA must be considered the last diagnostic tool and the first treatment one.http://link.springer.com/article/10.1186/s12893-017-0238-6Castleman’s diseaseCase reportMesenteric tumorLaparoscopy |
| spellingShingle | Umberto Bracale Francesco Pacelli Marco Milone Umberto Marcello Bracale Maurizio Sodo Giovanni Merola Teresa Troiani Enrico Di Salvo Laparoscopic treatment of abdominal unicentric castleman’s disease: a case report and literature review BMC Surgery Castleman’s disease Case report Mesenteric tumor Laparoscopy |
| title | Laparoscopic treatment of abdominal unicentric castleman’s disease: a case report and literature review |
| title_full | Laparoscopic treatment of abdominal unicentric castleman’s disease: a case report and literature review |
| title_fullStr | Laparoscopic treatment of abdominal unicentric castleman’s disease: a case report and literature review |
| title_full_unstemmed | Laparoscopic treatment of abdominal unicentric castleman’s disease: a case report and literature review |
| title_short | Laparoscopic treatment of abdominal unicentric castleman’s disease: a case report and literature review |
| title_sort | laparoscopic treatment of abdominal unicentric castleman s disease a case report and literature review |
| topic | Castleman’s disease Case report Mesenteric tumor Laparoscopy |
| url | http://link.springer.com/article/10.1186/s12893-017-0238-6 |
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