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Case report on laparoscopic excision of retroperitoneal mixed type unicentric Castleman disease

Case report on laparoscopic excision of retroperitoneal mixed type unicentric Castleman disease
Photo by Olivier Gerbault / Unsplash
Key Takeaway
Consider that laparoscopic excision can be feasible for retroperitoneal unicentric Castleman disease, but evidence is limited to a single case.

This publication is a case report describing the management of a 52-year-old female with retroperitoneal mixed type unicentric Castleman disease. The scope is limited to a single patient who underwent laparoscopic excision of the retroperitoneal mass. The authors report that postoperative recovery was uneventful and pathological examination confirmed the diagnosis of mixed type unicentric Castleman disease, with absolute numbers of 1 for the confirmed diagnosis.

The report does not include a comparator group, pooled effect sizes, or statistical analyses. No adverse events, serious adverse events, discontinuations, or tolerability issues were reported. The authors note that the patient remains under close follow-up surveillance.

A key limitation is the single-case design, which precludes generalization of findings. The authors acknowledge that retroperitoneal mixed type unicentric Castleman disease is clinically uncommon and possesses distinctive histopathological features, and they emphasize that awareness of this entity needs to be heightened. Practice relevance is restrained to noting the rarity of the condition and the role of surgical excision in this specific case.

Study Details

Study typeSystematic review
EvidenceLevel 1
PublishedMay 2026
View Original Abstract ↓
ObjectiveTo enhance the understanding, diagnosis, and management of retroperitoneal mixed type unicentric Castleman disease.MethodsThis report describes a case of retroperitoneal mixed type unicentric Castleman disease managed at our institution. The clinical presentation, histopathological characteristics, and therapeutic approach are detailed. A discussion regarding the current status of diagnosis, management, and prognosis is provided, supplemented by a review of the relevant literature.ResultsA 52-year-old female was admitted with a chief complaint of “frequent urination for over 6 months.” A retroperitoneal mass was identified. The patient underwent laparoscopic excision of the retroperitoneal mass. Postoperative pathological examination confirmed the diagnosis of mixed type unicentric Castleman disease. The patient’s postoperative recovery was uneventful, and she remains under close follow-up surveillance.ConclusionRetroperitoneal mixed type unicentric Castleman disease is clinically uncommon and possesses distinctive histopathological features. Awareness of this entity needs to be heightened.
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