A 5-year-old boy with unicentric Castleman disease affecting the mesentery: utility of serum IL-6 level and (18)F-FDG PET for diagnosis

J Pediatr Hematol Oncol. 2009 Sep;31(9):693-5. doi: 10.1097/MPH.0b013e3181b2708f.

Abstract

Castleman disease (CD) is a rare lymphoproliferative disorder of unknown etiology. It is quite difficult to diagnose CD without typical localized signs or symptoms. We present a 5-year-old boy with unicentric plasma cell CD in the mesentery, which was too small to be detected by any conventional imaging. (18)F-fluorodeoxyglucose positron emission tomography image and a serum cytokine profile prompted us to perform a curative surgical excision, confirming his diagnosis. Our case also supported an important role of interleukin-6 in the pathophysiology of plasma cell CD.

Publication types

  • Case Reports
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Castleman Disease / blood
  • Castleman Disease / diagnosis*
  • Castleman Disease / diagnostic imaging
  • Castleman Disease / physiopathology
  • Castleman Disease / surgery
  • Child, Preschool
  • Fever / etiology
  • Fluorine Radioisotopes
  • Fluorodeoxyglucose F18
  • Humans
  • Interleukin-6 / blood*
  • Interleukin-6 / genetics
  • Interleukin-6 / physiology
  • Lymph Node Excision
  • Male
  • Mesentery / diagnostic imaging*
  • Plasma Cells / pathology
  • Positron-Emission Tomography*
  • Radiopharmaceuticals

Substances

  • Fluorine Radioisotopes
  • IL6 protein, human
  • Interleukin-6
  • Radiopharmaceuticals
  • Fluorodeoxyglucose F18