BACKGROUND: We present the case of a 36-year-old female with a three-week history of a pulsatile, tender mass in the anterior triangle of the neck. METHODS: Radiology demonstrated that this was a vascular tumour deep to the sternocleidomastoid muscle. RESULTS: Pre-operative embolisation and complete surgical resection was performed. Histology revealed Castleman's disease. CONCLUSION: Unicentric hyaline vascular Castleman's disease is an unusual cause of neck mass. Surgical resection remains the best chance for cure in unicentric disease. Long term follow-up is necessary as the risk of subsequent malignancy exists.
BACKGROUND: We present the case of a 36-year-old female with a three-week history of a pulsatile, tender mass in the anterior triangle of the neck. METHODS: Radiology demonstrated that this was a vascular tumour deep to the sternocleidomastoid muscle. RESULTS: Pre-operative embolisation and complete surgical resection was performed. Histology revealed Castleman's disease. CONCLUSION: Unicentric hyaline vascular Castleman's disease is an unusual cause of neck mass. Surgical resection remains the best chance for cure in unicentric disease. Long term follow-up is necessary as the risk of subsequent malignancy exists.
Authors: J T Beck; S M Hsu; J Wijdenes; R Bataille; B Klein; D Vesole; K Hayden; S Jagannath; B Barlogie Journal: N Engl J Med Date: 1994-03-03 Impact factor: 91.245