A case of pericoronary pseudotumor due to localized Castleman's disease |
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Authors: | Pierre-Alexandre Just Aurélie Cazes Heike Goebel Elie Mousseaux Jean-No?l Fabiani Patrick Bruneval |
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Affiliation: | 1. Department of Pathology of Alpert Medical School of Brown University/Women & Infants Hospital, Providence, RI 02905;2. Departments of Pathology of Emory University School of Medicine, Atlanta, GA 30322 |
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Abstract: | BackgroundA 59-year-old male had a latent epicardial mass discovered at cardiovascular imaging during the assessment of an aortic murmur.ResultsThe resected mass surrounded the left anterior descending coronary artery. It was a well-limited pericoronary cellular lesion. It was made of a mixture of polytypic plasma cells, lymphocytes with lymphoid follicles, hyaline vascular hyperplasia, and focal eosinophils. No immunoglobulin and TCR-γ gene rearrangements were detected. In this immunocompetent patient, HHV-8 was negative.ConclusionThe pattern was consistent with a pericoronary localized Castleman's disease of composite histologic subtype. |
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