A retroperitoneal localization of Castleman's disease was characterize
d by angiolymphoid hyperplasia. This rare disease (58 cases of abdomin
al localization reported to date) raises a question of nosology. The c
linical features are not specific. Localized forms in young patients i
nvolve deep lymph nodes and have a good prognosis after complete surgi
cal exeresis. Inversely, the clinical picture is much more aggressive
in multiple localizations involving preferentially superficial nodes w
ith associated plasmocyte proliferation. The prognosis is mediocre in
these forms. Although transition stages have been described due to the
lack of any known aetiology, the question of nosology remains open: s
hould the different forms be separated or identified simply as two pat
hological forms?