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Table 3 Radiological characteristics of Castleman's disease

From: Surgical management of abdominal and retroperitoneal Castleman's disease

 

Non specific signs

Specific signs

Radiography

calcification.

Star-shaped calcification.

Echography

Hypoechogenic and homogenous mass. Central areas of acoustic shadowing (calcification).

 

CT scanner

Tissue density, Homogenous and well delimited mass. Contrast enhancement beginning in periphery.

Star-shaped microcalcifications Star-shaped scar on post-contrast study.

Arteriography

Hypervascularity with hypertrophied feeding vessel.

Flush beginning in periphery to become diffuse and homogenous during capillary phase.

MRI

Hypodense on T1 and hyperdense on T2. Contrast enhancement beginning in periphery.

Star-shaped microcalcification or star-shaped hypodense signal on T2.

  1. Table adapted according to references: [5,9,27,30,34,42,48,65,]