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Peer-reviewedCC BY-NC-ND 4.0Annals of Hematology

Angioimmunoblastic T-cell lymphoma following Castleman’s disease: diagnostic challenges and literature review

  1. 1Bone Marrow Transplantation Center, The First Affiliated Hospital, School of Medicine, Zhejiang University, No. 79, Qingchun Road, Hangzhou, 310006 China

Abstract

Castleman disease (CD) represents a heterogeneous group of hematologic disorders characterized by distinct histopathological features. While CD is regarded as a pre-lymphomatous condition, its reactive or neoplastic nature is still a matter of controversy. Although rare, lymphoma has been reported in patients with CD, most commonly B-cell lymphomas. Here, we present a case of a 69-year-old man initially diagnosed with CD who subsequently developed angioimmunoblastic T-cell lymphoma (AITL) during treatment. To elucidate the potential biological relationship between these two disease entities, we performed whole-exome sequencing to compare genomic alterations between the two disease states. Additionally, we provide a concise review of published cases documenting lymphoma occurring after or coexisting with CD, summarizing patients’ characteristics and the various treatment strategies employed thus far.

Supplementary Information: The online version contains supplementary material available at https://doi.org/10.1007/s00277-026-07199-3.

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BibTeX
@article{xu2026angioimmunoblastic,
  title = {{Angioimmunoblastic T-cell lymphoma following Castleman’s disease: diagnostic challenges and literature review}},
  author = {Ruyi Xu and Xi Huang and Jia Hu and Jinuo Wang and Duoduo Zhao and Xiaoyan Han and Zhen Cai and Wenjun Wu},
  journal = {Annals of Hematology},
  year = {2026},
  month = jul,
  doi = {10.1007/s00277-026-07199-3},
  url = {https://doi.org/10.1007/s00277-026-07199-3},
  note = {CC BY-NC-ND 4.0},
}
RIS
TY  - JOUR
TI  - Angioimmunoblastic T-cell lymphoma following Castleman’s disease: diagnostic challenges and literature review
AU  - Ruyi Xu
AU  - Xi Huang
AU  - Jia Hu
AU  - Jinuo Wang
AU  - Duoduo Zhao
AU  - Xiaoyan Han
AU  - Zhen Cai
AU  - Wenjun Wu
PY  - 2026
DA  - 2026/07/01
JO  - Annals of Hematology
DO  - 10.1007/s00277-026-07199-3
UR  - https://doi.org/10.1007/s00277-026-07199-3
AB  - Castleman disease (CD) represents a heterogeneous group of hematologic disorders characterized by distinct histopathological features. While CD is regarded as a pre-lymphomatous condition, its reactive or neoplastic nature is still a matter of controversy. Although rare, lymphoma has been reported in patients with CD, most commonly B-cell lymphomas. Here, we present a case of a 69-year-old man initially diagnosed with CD who subsequently developed angioimmunoblastic T-cell lymphoma (AITL) during treatment. To elucidate the potential biological relationship between these two disease entities, we performed whole-exome sequencing to compare genomic alterations between the two disease states. Additionally, we provide a concise review of published cases documenting lymphoma occurring after or coexisting with CD, summarizing patients’ characteristics and the various treatment strategies employed thus far.  Supplementary Information: The online version contains supplementary material available at https://doi.org/10.1007/s00277-026-07199-3.
SN  - 0939-5555
SN  - 1432-0584
ER  -