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Print ISSN: 1792-0981 Online ISSN: 1792-1015
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April-2022 Volume 23 Issue 4

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Case Report

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 / Copyright

    Affiliations: General Surgery Department, ‘Carol Davila’ University of Medicine and Pharmacy, 050474 Bucharest, Romania, Department of Dermatology, Elias University Emergency Hospital, 011461 Bucharest, Romania
  • Article Number: 268
    |
    Published online on: February 8, 2022
       https://doi.org/10.3892/etm.2022.11194
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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.
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Copy and paste a formatted citation
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
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
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