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The British Journal of Radiology, Vol 70, Issue 838 1060-1062, Copyright © 1997 by British Institute of Radiology

ARTICLES

Visualization of central stellate fibrosis in hyaline vascular type Castleman's disease

T Ota, A Mitsuyoshi, M Zaima, M Mizuno and R Morita
Department of Radiology, Shiga University of Medical Science, Japan.

Hyaline vascular type Castleman's disease (HVCD) is a benign cause of lymph node hypertrophy which radiologically resembles tumours such as paraganglioma and lymphoma. However, a distinguishing pathological characteristic of HVCD is the presence of central stellate fibrosis. Since conventional CT and MRI scans failed to differentiate areas of fibrosis, three-phase dynamic CT was performed on a patient who was thought to have HVCD. The images showed central fibrosis and consequently the correct pre-operative diagnosis of HVCD was made.


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T Y Tan, K P Pang, H K C Goh, E L H Teo, B Abhilash, and N Walford
Castleman's disease of the neck: a description of four cases on contrast-enhanced CT
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