Solitary Cranial Langerhans Cell Histiocytosis : Two case reports

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Title ( eng )
Solitary Cranial Langerhans Cell Histiocytosis : Two case reports
Creator
Karki Prasanna
Hirano Hirofumi
Yamahata Hitoshi
Fujio Shingo
Yonezawa Hajime
Bohara Manoj
Oyoshi Tatsuki
Hanaya Ryosuke
Arita Kazunori
Source Title
Hiroshima Journal of Medical Sciences
Volume 64
Issue 4
Start Page 59
End Page 63
Journal Identifire
[PISSN] 0018-2052
[EISSN] 2433-7668
[NCID] AA00664312
Abstract
Langerhans cell histiocytosis (LCH) is a proliferation of Langerhans cells intermixed with inflammatory cells, in particular eosinophils, that may manifest as a unisystem (unifocal or multifocal) or multisystem disease. We describe the clinical and histologic spectrum of LCH of the orbit and skull in our two cases. Both cases had unifocal erosive skull lesions with a history of trauma. Typical histologic features included numerous histiocytes with varying degrees of giant cell formation and scattered eosinophilic granulocytes. The presence of Langerhans cells was confirmed by CD1a and S100 immunohistochemistry. LCH has an excellent prognosis when treated with surgical resection, steroids and radiotherapy or chemotherapy. One of our patients is disease free at 7 year follow-up and one patient had regression of lesion on follow-up.
Keywords
Langerhans cell histiocytosis
Skull
Immunostaining
Histology
NDC
Medical sciences [ 490 ]
Language
eng
Resource Type departmental bulletin paper
Publisher
Hiroshima University Medical Press
Date of Issued 2015-12
Rights
Hiroshima University Medical Press
Publish Type Version of Record
Access Rights open access
Source Identifier
[ISSN] 0018-2052
[NCID] AA00664312