Author(s)
J. W. Briddell
W. E. Wood
C. Helwig
Affiliation(s)
Geisinger Medical Center - Janet Weis Children's Hospital
Abstract:
Castleman’s disease is a rare benign lymphoproliferative disorder that is infrequently seen in the head and neck. Most cases of pediatric Castleman’s disease are mediastinal or abdominal, with less than a quarter of cases being in the cervical region. Unicentric and multicentric Castleman’s disease are two distinctive forms of the disease. There can also be histologic variance within the disease classification. We present the cases of a 13 year old male with a unicentric Castleman’s node of the left jugulodigastric region and a 9 year old with multinodular intra-parotid and cervical disease. These two pediatric patients highlight the variance that can be seen within Castleman’s disease. Discussion of these two patients highlights the different diagnostic challenges that this disease can present and how different management techniques may need to be considered depending on the presentation pattern that is observed.