Volume 11, Issue 3 (12-2019)
2019, 11(3): 104-107 |
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Abad M, Soltani H, Safdari M R, Nouri G, Zahed Pasha S, Hamidi S H. A Rare Case of Pheochromocytoma Presenting as Cervical Mass. North Khorasan University of Medical Sciences 2019; 11 (3) :104-107
URL: http://journal.nkums.ac.ir/article-1-1904-en.html
URL: http://journal.nkums.ac.ir/article-1-1904-en.html
Mohsen Abad1 
, Hosseinali Soltani *2 
, Mohammad Reza Safdari3 , Gohar Nouri4 , Shaghayegh Zahed Pasha5 , Seyed Hasan Hamidi6
, Hosseinali Soltani *2 , Mohammad Reza Safdari3 , Gohar Nouri4 , Shaghayegh Zahed Pasha5 , Seyed Hasan Hamidi6
1- Assistant Professor of Anesthesiology, North Khorasan University of Medical Sciences, Bojnourd, Iran
2- Assistant Professor of General Surgery, North Khorasan University of Medical Sciences, Bojnourd, Iran ,has4132@gmail.com
3- Assistant Professor of Orthopedic Surgery, North Khorasan University of Medical Sciences, Bojnourd, Iran
4- General physician, Student of Research Committee, North Khorasan University of Medical Sciences, Bojnourd, Iran
5- Assistant Professor, Oral Medicine Department, Faculty of Dentistry, Mazandaran University of Medical Sciences, Babol, Iran
6- Assistant Professor, Anesthesiology Department, Babol University of Medical Sciences, Babol, Iran
2- Assistant Professor of General Surgery, North Khorasan University of Medical Sciences, Bojnourd, Iran ,
3- Assistant Professor of Orthopedic Surgery, North Khorasan University of Medical Sciences, Bojnourd, Iran
4- General physician, Student of Research Committee, North Khorasan University of Medical Sciences, Bojnourd, Iran
5- Assistant Professor, Oral Medicine Department, Faculty of Dentistry, Mazandaran University of Medical Sciences, Babol, Iran
6- Assistant Professor, Anesthesiology Department, Babol University of Medical Sciences, Babol, Iran
Abstract: (4782 Views)
Introduction: Angiofollicular lymph node hyperplasia (ALNH) or Castleman’s disease (CD) is an unusual benign non-neoplastic lymphoproliferative disease. CD can present as a localised mass. In this paper a rare case of Castleman’s disease in a 34 years old woman with a cervical mass is presented.
Case Presentation: A 34 years-old woman presented in July 2018 with a painful mass neck that was appeared in 2010 referred to pain clinic because of painful cervical mass. She presented to a general surgeon. Primary par clinic assessments such as ultrasound and CT scan revealed that the mass is not cancerous and surgery is dangerous because the sites of the mass. During the last year size of the mass increased rapidly and, patient decided to get rid of the mass because of pain and bad view in her neck. She had no associated symptoms with the mass such as weight loss, fever, excessive sweating during 7 years ago. On physical examination we found a 2/5 cm tendered bulged mass which was stacked to left sternocleidomastoid muscle. The routine laboratory tests was normal. Patient underwent ultrasound and CT scan again. Ultrasound demonstrated a 60mm*27mm*40 mm well defined homogenous hypo echoic mass in left posterior cervical triangle. The CT-Scan demonstrated a 60mm*30mm *42 mm well defined homogenous oval mass isodense to sternocleidomastoid muscle in left posterior cervical triangle. Differential diagnosis was posterior cervical schwanoma, carotid body tumor, lymphoma and reactive lymphadenopathy. Patient underwent surgery successfully. The pathology report demonstrated the diagnosis is Castleman’s disease. Conclusions: Castleman’ disease is one of the differential diagnoses of masses in the neck. Histopathlogically findings is needed to achieving a definitive diagnosis. Some types of CD are associated with malignancies such as nonhodgkin lymphoma, Kaposi’s sarcoma, follicular dendritic cell sarcoma, or carcinoma.
Case Presentation: A 34 years-old woman presented in July 2018 with a painful mass neck that was appeared in 2010 referred to pain clinic because of painful cervical mass. She presented to a general surgeon. Primary par clinic assessments such as ultrasound and CT scan revealed that the mass is not cancerous and surgery is dangerous because the sites of the mass. During the last year size of the mass increased rapidly and, patient decided to get rid of the mass because of pain and bad view in her neck. She had no associated symptoms with the mass such as weight loss, fever, excessive sweating during 7 years ago. On physical examination we found a 2/5 cm tendered bulged mass which was stacked to left sternocleidomastoid muscle. The routine laboratory tests was normal. Patient underwent ultrasound and CT scan again. Ultrasound demonstrated a 60mm*27mm*40 mm well defined homogenous hypo echoic mass in left posterior cervical triangle. The CT-Scan demonstrated a 60mm*30mm *42 mm well defined homogenous oval mass isodense to sternocleidomastoid muscle in left posterior cervical triangle. Differential diagnosis was posterior cervical schwanoma, carotid body tumor, lymphoma and reactive lymphadenopathy. Patient underwent surgery successfully. The pathology report demonstrated the diagnosis is Castleman’s disease. Conclusions: Castleman’ disease is one of the differential diagnoses of masses in the neck. Histopathlogically findings is needed to achieving a definitive diagnosis. Some types of CD are associated with malignancies such as nonhodgkin lymphoma, Kaposi’s sarcoma, follicular dendritic cell sarcoma, or carcinoma.
Type of Study: Case Report |
Subject:
Clinical
Received: 2018/10/14 | Accepted: 2019/11/4 | Published: 2020/01/1
Received: 2018/10/14 | Accepted: 2019/11/4 | Published: 2020/01/1
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