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CT Features of Castleman Disease of the Abdomen and Pelvis

¹ Department of Radiologic Pathology, Armed Forces Institute of Pathology, Rm. M-111, 14th St. N.W. and Alaska Ave., Washington, DC 20306-6000.
² Present address: Asheville Radiology Associates, P. O. Box 2959, Asheville, NC 28802.
³ Present address: Department of Radiology, USA MEDDAC, Fort Carson, CO 80913.

OBJECTIVE. The purpose of this study was to describe the CT features of Castleman disease in the abdomen and pelvis.

CONCLUSION. The most frequent appearance of abdominal or pelvic Castleman disease is of a single, well-defined enhancing mass. Smaller tumors (<5 cm) display homogeneous contrast enhancement; larger tumors (>5 cm) show heterogeneous enhancement and attenuation when correlated with central necrosis and degeneration. Calcification was seen in 31% of the cases. Castleman disease may be considered in the differential diagnosis of a discrete enhancing mass in the abdomen or pelvis.

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