A Case Report of Adrenal Castleman’s Disease

Purpose Castleman’s disease(CD) is a rare angiofollicular lymph node hyperplasia. It is difficult to diagnose CD preoperatively due to its occurrence in multiple regions. It is reported that CD generally occurred in the mediastinum and there were very few reports which mentioned adrenal area. We report a case of Castleman’s disease in the adrenal area. Methods We reviewed the patient’s hospitalization records, including clinical manifestations, diagnostic tools, management, and outcomes. Histopathological examination was the method for diagnosis. Result In this case report, we present a case of CD that occurred in the adrenal area. The patient was initially diagnosed with adrenal tumor by CT. After operation, histopathological examination showed unicentric CD of the hyaline vascular type. Discussion Castleman’s disease rarely occurs in adrenal, which is easily neglected and misdiagnosed. Histopathological examination is the gold standard in the diagnosis of CD, and surgical excision is effective in the treatment of unicentric CD.