Abstract
A 44-year-old-man presented with submucosal tongue swelling with a duration of one week. Upon physical examination, a submucosal mass lesion on the right side of the tongue was detected. An initial magnetic resonance imaging (MRI) study showed a tongue mass thought to be a tongue neoplasm. Before a biopsy, intraoral tongue ultrasonography (USG) was performed and edema formation within the tongue muscle fibres was detected without any mass or abscess formation. After empirical antibiotic treatment, a subsequent MRI showed complete resolution of the lesion. In the diagnostic work-up of a suspicious submucosal tongue lesion, USG imaging is helpful and should be considered. (Gazi Med J 2012; 23: 65-8)
Highlights
Castleman’s disease (CD), known as angiofollicular lymph node or giant lymph node hyperplasia, is a rare lymphoproliferative disorder that was first described by Benjamin Castleman in 1954 [1]
The two main histological types described for CD are the hyaline vascular type and the plasma cellular type
We present a 36-year-old woman with a solitary mass in the right neck region and a 52-yearold woman with a mass arising from the right parotid gland who were reported as the hyaline vascular type of CD upon histopathological examination
Summary
Castleman’s disease (CD), known as angiofollicular lymph node or giant lymph node hyperplasia, is a rare lymphoproliferative disorder that was first described by Benjamin Castleman in 1954 [1]. It occurs most commonly in adults, in men and women. Multicentric CD, most of which are the plasma cell type, behaves aggressively, presents with multiple lymph nodes, constitutional symptoms. This case was presented as a poster at the 33th Turkish National Congress of Otorhinolaryngology and Head & Neck Surgery, 26-30 October 2011, Antalya
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