Castleman disease as a giant parapharyngeal mass presenting with dysphagia

Karakoc O., Kilic E., Ilica T., Tosun F., Hidir Y.

Journal of Craniofacial Surgery, vol.22, no.6, 2011 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 22 Issue: 6
  • Publication Date: 2011
  • Doi Number: 10.1097/scs.0b013e318231e20f
  • Journal Name: Journal of Craniofacial Surgery
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Keywords: Castleman disease, dysphagia, parapharynx
  • Yozgat Bozok University Affiliated: No

Abstract

A giant unilateral parapharyngeal mass from the skull base to the vocal folds is presented in this case. A 20-year-old man experiencing dysphagia for 4 years was admitted, and his magnetic resonance imaging and computed tomographic scans showed a giant parapharyngeal ellipsoid mass from the left jugular foramen to the vocal folds. Its craniocaudal length was 9 cm. The left internal carotid artery was lateralized, and posterior glottic airway was narrowed by the mass. In digital subtraction angiography, 2 aberrant branches of the internal carotid artery were going inside the mass. After the excision, histopathologic evaluation showed the diagnosis, Castleman disease. This is the first case in literature presenting with the only symptom of dysphagia. Copyright © 2011 by Mutaz B. Habal, MD.