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AJR 2003; 181:1037-1040
© American Roentgen Ray Society

Original Report

Radiologic Features of Castleman's Disease Occupying the Renal Sinus

Akihiro Nishie1, Kengo Yoshimitsu1, Hiroyuki Irie1, Hitoshi Aibe1, Tsuyoshi Tajima1, Kenji Shinozaki1, Tomohiro Nakayama1, Daisuke Kakihara1, Seiji Naito2, Minoru Ono3, Toru Muranaka4 and Hiroshi Honda1

1 Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku Fukuoka 812-8582, Japan.
2 Department of Urology, Graduate School of Medical Sciences, Kyushu University, Higashi-ku Fukuoka 812-8582, Japan.
3 Department of Radiology, Kitakyushu Municipal Medical Center, 2-1-1, Basyaku, Kokurakita-ku Kitakyushu 802-0021, Japan.
4 Department of Radiology, National Kyusyu Medical Center, 1-8-1, Jigyohama, Chuo-ku Fukuoka 810-0065, Japan.

OBJECTIVE. Our purpose was to describe the radiologic findings in five abnormalities in three patients with Castleman's disease occupying the renal sinus.

CONCLUSION. Common findings such as mild homogeneous enhancement passing through the mass of the collecting system with mild hydronephrosis on contrast-enhanced CT and hypointense signal on T2-weighted images were obtained. Castleman's disease may be considered in a differential diagnosis of a mass occupying the renal sinus, although it is difficult to differentiate from malignant lymphoma.


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