A mesorectal incidentaloma: Rare localization of Castleman disease (Case report)

  • Authors:
    • Daniel Ion
    • Alexandra Bolocan
    • Alexandru George Filipescu
    • Octavian Andronic
    • Ana-Maria Oproiu
    • Adelina Popa
    • Dan Nicoale Păduraru
  • View Affiliations

  • Published online on: February 8, 2022     https://doi.org/10.3892/etm.2022.11194
  • Article Number: 268
Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )


Abstract

Incidentalomas are defined as tumors or pseudo‑tumoral masses accidentally discovered during clinical and imaging investigations. We present a 51‑year‑old female patient who presented at the gynecology service for genital bleeding caused by uterine fibromatosis. Computerized pelvic tomography showed an engorged uterus completely deformed by numerous intramural and submucosal nodular structures suggestive of multiple fibroids. Behind the uterus, a well‑defined, iodophilic, 49/51 mm diameter, tissue‑shaped, nodular mass was identified, with pushing borders into the adjacent fat and showing a mass effect on the rectum against which it retained a demarcation zone. A conclusion of the histopathological examination was made. Histopathological aspects and immunohistochemical tests supported the diagnosis of Castleman disease (CD) variant vascular hyaline variant. The mesorectum is a particularly and extremely rare localization for CD, and preoperative diagnosis is difficult to achieve. The correct surgical attitude in the case of an incidental finding in this localization is the extensive resection that satisfies the presumption of a neoplastic formation.
View References

Related Articles

Journal Cover

April-2022
Volume 23 Issue 4

Print ISSN: 1792-0981
Online ISSN:1792-1015

Sign up for eToc alerts

Recommend to Library

Copy and paste a formatted citation
x
Spandidos Publications style
Ion D, Bolocan A, Filipescu AG, Andronic O, Oproiu A, Popa A and Păduraru DN: A mesorectal incidentaloma: Rare localization of Castleman disease (Case report). Exp Ther Med 23: 268, 2022
APA
Ion, D., Bolocan, A., Filipescu, A.G., Andronic, O., Oproiu, A., Popa, A., & Păduraru, D.N. (2022). A mesorectal incidentaloma: Rare localization of Castleman disease (Case report). Experimental and Therapeutic Medicine, 23, 268. https://doi.org/10.3892/etm.2022.11194
MLA
Ion, D., Bolocan, A., Filipescu, A. G., Andronic, O., Oproiu, A., Popa, A., Păduraru, D. N."A mesorectal incidentaloma: Rare localization of Castleman disease (Case report)". Experimental and Therapeutic Medicine 23.4 (2022): 268.
Chicago
Ion, D., Bolocan, A., Filipescu, A. G., Andronic, O., Oproiu, A., Popa, A., Păduraru, D. N."A mesorectal incidentaloma: Rare localization of Castleman disease (Case report)". Experimental and Therapeutic Medicine 23, no. 4 (2022): 268. https://doi.org/10.3892/etm.2022.11194