! ORL via Alexandros G.Sfakianakis on Inoreader: Unicentric Castleman's disease in the posterior cervical space mimicking a schwannoma

! ORL via Alexandros G.Sfakianakis on Inoreader

Unicentric Castleman's disease in the posterior cervical space mimicking a schwannoma Sep 8th 2015, 11:21 Publication date: Available online 8 September 2015 Source:European Annals of Otorhinolaryngology, Head and Neck Diseases Author(s): M. Ochoa-Escudero, D.A. Herrera, A.B. Dublin, A. Sanabria IntroductionCastleman's disease (CD) is a benign and rare lymphoid tissue disease of undetermined origin. It affects the neck infrequently; therefore its preoperative diagnosis is difficult and can be confused with other hypervascular lesions.Case reportWe present a case of unicentric hyaline-vascular CD in the posterior cervical space (PCS) evaluated by MRI and initially presumed to be a cervical schwannoma.DiscussionAs shown with our case, unicentric CD should be included in the differential diagnosis for masses in the PCS, especially when a hypervascular lesion like a schwannoma is suspected. The finding of central low intensity areas in a fissured and radial pattern in T2 sequences can help to consider CD when dealing with PCS masses as shown by previous cases and our reported experience.

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