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Uni-centric hyaline vascular Castleman's disease

Imaging findings

CT scan shows an incidental, highly vascular, well-defined right paratracheal mass that remains stable in size over several months. Core biopsy confirmed hyaline vascular Castleman's disease.

Key takeaways

Uni-centric Castleman's disease typically presents as a solitary, highly vascular mediastinal or hilar lymph node mass. While most common in the prevascular space, it can occur in the paratracheal region and is cured by resection.

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