Castleman's disease

J Oral Maxillofac Pathol. 2020 Sep-Dec;24(3):593. doi: 10.4103/jomfp.JOMFP_283_20. Epub 2021 Jan 9.

Abstract

Castleman's disease, a type of lymph node hyperplasia, usually occurs in the mediastinum and rarely presents in the cervical region as an asymptomatic solitary mass. Clinically, they are of two types-solitary and multi-centric. Most of the solitary types are asymptomatic with no associated symptoms, whereas the multi-centric type is associated with systemic symptoms and has a poor prognosis. Histologically, they can be classified as-Hyaline vascular, plasma cell, transitional and stromal rich type. We report a case of Castleman's disease involving the submandibular lymph node in a 75-year-old male patient whose definitive diagnosis was made only on histological examination. Isolated Castleman's disease of the submandibular node is rare and a thorough clinical and histological examination is necessary to rule out the systemic form of the disease and other diseases with manifestations as a cervical lymph node enlargement.

Keywords: Angiolymphoid hyperplasia; Castleman's disease; cervical lymphadenopathy.

Publication types

  • Case Reports