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2005, Number 1

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Rev Mex Cir Pediatr 2005; 12 (1)

A peripancreatic form in castleman disease Presentation of a case and review of the literature

Mondragón-García JA, Jiménez-Urueta P, Gallego-Grijalva J, Castillo-Miranda S, Navarrete M

Language: Spanish
References: 15
Page: 46-50
PDF size: 252.96 Kb.


ABSTRACT

Introduction: Castleman disease is a rare condition in children, the clinical and radiological findings are unspecific, that is why it´s so difficult to diagnose. The most common findings are microcytic-hypocromic anemia and hipergamaglobulinemia. Treatment consist in surgical removal of the lymphatic nodules.
Presentation case: We present an 11 year old female, who started with abdominal pain, abdominal mass, fever, cervical and submaxilar lynphadenopaty, splenomagaly, anemia and hipergamaglobulinemia. Initially was diagnosed as a pancreatic head cancer.
Discussion: The diagnosis of a Castleman disease in the pediatric age group is rare, but it is even more a peripancreática presentation. This is the first case in a 3th level hospital, where the initial diagnosis was a tumor in the head of the pancreas and was diagnosed and given definitive treatment during surgical excision.


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