[A Rare Cause of a Cervical Lymphadenopathy.]

Publication

[A Rare Cause of a Cervical Lymphadenopathy.]

Journal Paper/Review - Jan 19, 2011

Hinder R, Hitz Felicitas, Brugnolaro C, Stöckli Sandro

Citation

Hinder R, Hitz F, Brugnolaro C, Stöckli S. [A Rare Cause of a Cervical Lymphadenopathy.]. Praxis (Bern 1994) 2011; 100:105-108.

Type

Journal Paper/Review (Deutsch)

Journal

Praxis (Bern 1994) 2011; 100

Publication Date

Jan 19, 2011

Issn Print

1661-8157

Pages

105-108

Brief description/objective

We report on a 15-year-old female patient with a slow-growing, mildly painful swelling on her neck, without any signs of inflammation or any general symptoms. Sonographic findings included two enlarged lymph nodes with hilar markings evident. Based on the histology, Castleman's disease of the hyaline vascular type was ultimately diagnosed. The differential diagnosis of the swelling on the neck is described along with the clinical, diagnostic, pathogenic and therapeutic aspects of Castleman's disease. Castleman's disease is a rare differential diagnosis of non-infectious cervical lymphadenopathy. Unicentric Castleman's is treated by surgical resection. In patients with contraindications, radiotherapy should be discussed as an alternative. Multicentric forms manifest as systemic diseases with poor prognosis and must be managed by an interdisciplinary team.