Cervical unicentric Castleman's disease in children - 05/09/13

Doi : 10.1016/j.anorl.2012.09.008

J. Bouguila ^a,^⁎ , I. Lahmer ^a, M. Abdelkefi ^b, A. Affissath ^c, M. Trimeche ^c, L. Boughammoura ^a
^a Service de pédiatrie, CHU Farhat Hached, avenue Ibn El Jazzar, 4000 Sousse, Tunisia
^b Service d’ORL, CHU Farhat Hached, avenue Ibn El Jazzar, 4000 Sousse, Tunisia
^c Laboratoire d’anathomo-pathologie, CHU Farhat Hached, avenue Ibn El Jazzar, 4000 Sousse, Tunisia

^⁎Corresponding author. Tel.: +216 98 407 764; fax: +216 73 226 702.

Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.

pages	3
Iconographies	2
Vidéos	0
Autres	0

Summary

Introduction

Unicentric Castleman's disease (CD) is a rare benign lymphoproliferative disorder. A cervical location has rarely been reported in the pediatric literature.

Case report

A 13-year-old boy presented with a mass in the right neck region of 3months’ evolution. Clinical examination revealed a smooth mobile 5cm node deep in the sternocleidomastoid muscle. The diagnosis of hyaline vascular type CD was confirmed by complete surgical excision and histopathologic examination. Postoperative course was simple, without recurrence over 1year's follow-up.

Discussion and conclusion

Cervically located CD often shows few symptoms, and is rarely suggested by a cervical mass found in children. Definitive diagnosis is histopathological. The hyaline vascular type of unicentric CD has a good prognosis after complete resection of the lesion.

Le texte complet de cet article est disponible en PDF.

Keywords : Castleman's disease, Lymph node, Neck, Child