1
|
Charfeddine A, Omami M, Garma M, Bellalah A, Sioud S, Selmi J. Rosai-Dorfman disease of the oral cavity. Autops Case Rep 2023; 13:e2023463. [PMID: 38149069 PMCID: PMC10750829 DOI: 10.4322/acr.2023.463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2023] [Accepted: 11/08/2023] [Indexed: 12/28/2023]
Abstract
First described by J Rosai and R F Dorfman in 1969, Rosai-Dorfman disease (RDD) is a benign, self-limiting histiocytosis of unknown etiology. It is usually seen in the first two decades of life. The most frequent clinical presentation is painless, bilateral cervical lymphadenopathy accompanied by fever, weight loss, and an elevated ESR. However, RDD without nodal involvement is extremely rare, and the most common extranodal location is the head and neck region, mainly affecting the nasal cavity, pharynx, and paranasal sinuses. Oral location of RDD is occasional; according to our knowledge, only 17 cases of oral Rosai-Dorfman disease without lymph node involvement have been found in the literature. Because of the rarity of these isolated oral presentations, the clinical and radiological aspects need to be more studied. This article aims to present a rare case of oral Rosai-Dorfman disease without nodal involvement, detail the clinical and radiological signs, and the treatment strategy used in our patient.
Collapse
Affiliation(s)
- Abir Charfeddine
- University Clinic of Dental Medicine, Oral Surgery Department, Oral Medicine, Monastir, Tunisia
- University of Monastir, Faculty of Dental Medicine, Oral Health and Oro-Facial Rehabilitation Laboratory, Monastir, Tunisia
| | - Mounir Omami
- University Clinic of Dental Medicine, Oral Surgery Department, Oral Medicine, Monastir, Tunisia
- University of Monastir, Faculty of Dental Medicine, Oral Health and Oro-Facial Rehabilitation Laboratory, Monastir, Tunisia
| | - Marwa Garma
- University Clinic of Dental Medicine, Oral Surgery Department, Oral Medicine, Monastir, Tunisia
- University of Monastir, Faculty of Dental Medicine, Oral Health and Oro-Facial Rehabilitation Laboratory, Monastir, Tunisia
| | - Ahlem Bellalah
- Fattouma Bourguiba University Hospital, Anatomical Pathology and Cytology Department, Monastir, Tunisia
| | - Sameh Sioud
- University Clinic of Dental Medicine, Oral Surgery Department, Oral Medicine, Monastir, Tunisia
| | - Jamil Selmi
- University Clinic of Dental Medicine, Oral Surgery Department, Oral Medicine, Monastir, Tunisia
- University of Monastir, Faculty of Dental Medicine, Oral Health and Oro-Facial Rehabilitation Laboratory, Monastir, Tunisia
| |
Collapse
|
2
|
Wang L, Gong H, Jiang L, Gao S, Jiao Y. Rosai-Dorfman Disease of Nasal Soft Tissue: A Case Report. EAR, NOSE & THROAT JOURNAL 2023:1455613231195160. [PMID: 37740427 DOI: 10.1177/01455613231195160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/24/2023] Open
Abstract
Rosai-Dorfman disease (RDD) is characterized by sinus histiocytosis with massive lymphadenopathy, and the tissue exhibits positive results for S100 and CD68. This lesion typically affects the lymph nodes and rarely involves the nasal soft tissues. This report aims to present a case of RDD involving the nasal soft tissues, presenting with nasal congestion and rhinorrhea as the primary complaints. The patient underwent surgery navigated by nasal endoscope did not report recurrence after operation.
Collapse
Affiliation(s)
- Liwen Wang
- Guangzhou Medical University, Guangzhou, China
- Guangzhou Twelfth People's Hospital, Guangzhou Otolaryngology-head and Neck Surgery Hospital, Guangzhou, China
| | - Huicheng Gong
- Guangzhou Twelfth People's Hospital, Guangzhou Otolaryngology-head and Neck Surgery Hospital, Guangzhou, China
| | - Linlan Jiang
- Guangzhou Medical University, Guangzhou, China
- Guangzhou Twelfth People's Hospital, Guangzhou Otolaryngology-head and Neck Surgery Hospital, Guangzhou, China
| | - Shuyi Gao
- Guangzhou Medical University, Guangzhou, China
| | - Yuenong Jiao
- Guangzhou Twelfth People's Hospital, Guangzhou Otolaryngology-head and Neck Surgery Hospital, Guangzhou, China
| |
Collapse
|
3
|
Lee NK, Lovell MA, Herrmann BW. Rosai-Dorfman-Destombes Disease in the Pediatric Head and Neck. Ann Otol Rhinol Laryngol 2023; 132:1121-1127. [PMID: 36330598 DOI: 10.1177/00034894221130822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/20/2023]
Abstract
BACKGROUND Rosai-Dorfman-Destombes disease (RDD), or sinus histiocytosis with massive lymphadenopathy, is a rare form of non-Langerhans cells histiocytosis. It has a wide-ranging variability in presentation since first described in 1969 but much of its characteristics in children remain unknown. METHODS A retrospective chart review of children diagnosed with RDD at a tertiary care children's hospital was conducted from 2000 to 2021. RESULTS Twelve RDD patients were identified, with an average age of 7 years (SD 4.3). Males comprised 58% of the cohort, and African American ethnicity was most common (42%). Nodal RDD was found in 7 patients (58%). Nine patients (75%) presented RDD within the head and neck, 6 of whom had nodal RDD. The most common presentation was cervical lymphadenopathy, which most often involved levels V (67%), II (56%), III (44%), and I (11%), in order of frequency. Recurrence and persistence of disease after initial treatment was common, with 5 (42%) being disease free at the time of the last follow up. Fifty-eight percent (7/12) developed recurrence or had persistent disease and 4 required adjuvant systemic treatment with corticosteroids and/or chemotherapy. One patient succumbed after developing treatment related acute myelodysplastic leukemia (t-AML) from chemotherapy used to treat recurrent RDD. CONCLUSION Pediatric RDD presents at a young age and most commonly involving cervical lymphadenopathy. Ongoing surveillance in the setting of persistence or recurrence without clearly defined prognostic risk factors is important.
Collapse
Affiliation(s)
- Nam K Lee
- Department of Otolaryngology-Head & Neck Surgery, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, CO, USA
| | - Mark A Lovell
- Department of Pathology, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, CO, USA
- Children's Hospital Colorado, Aurora, CO, USA
| | - Brian W Herrmann
- Department of Otolaryngology-Head & Neck Surgery, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, CO, USA
- Children's Hospital Colorado, Aurora, CO, USA
| |
Collapse
|
4
|
Song W, Ding F, Xiao Y, Hu X, Yang K, Geng L, Zou Y. A primary Rosai-Dorfman-Destombes disease of the scalp: case report and literature review. Front Neurol 2023; 14:1172695. [PMID: 37360354 PMCID: PMC10285057 DOI: 10.3389/fneur.2023.1172695] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2023] [Accepted: 05/16/2023] [Indexed: 06/28/2023] Open
Abstract
Background Rosai-Dorfman-Destombes disease (RDD) was first described in 1965 as a benign histiocytic proliferative disorder of unknown cause. Cases of RDD limited to cutaneous tissue have been reported over the past few decades, but single cutaneous RDD of the scalp is rare. Case presentation We report a 31-year-old male with a lump on the parietal scalp without extranodal lesion lasting 1 month with gradual enlargement. The surgical incision ruptured with purulent after the first resection. Then the patient was treated with plastic surgery after disinfection and antibiotic treatment. Finally, he recovered well and discharged after 20 days. Conclusions RDD of the scalp is rare. Surgical incision can cure the lesion but it may become infected because of increased lymphocytic infiltration. Early diagnosis and differential diagnosis of RDD are necessary. For treatment, individualized therapy is critical to patient prognosis.
Collapse
|
5
|
Muacevic A, Adler JR, Bhansali PJ, Shetty ND, Shelar SS, Suryadevara M, Dharmadhikari A. Intracranial Rosai-Dorfman Disease: A Case to Remember. Cureus 2022; 14:e32605. [PMID: 36660540 PMCID: PMC9845528 DOI: 10.7759/cureus.32605] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Accepted: 12/16/2022] [Indexed: 12/23/2022] Open
Abstract
Sinus histiocytosis with massive lymphadenopathy (SHML), an alternative term for Rosai-Dorfman disease (RDD), is a rare benign idiopathic immune-related lymphoproliferative condition. The central nervous system (CNS) has been documented to be involved in RDD, although lymph nodes are the organs that are most frequently and primarily associated with the disease manifestation. Nonetheless, CNS involvement in RDD is rare and poorly understood. As a result, there is a lack of a solid basis for therapeutic approaches for CNS involvement in RDD. Here, we present a case of RDD with cerebral involvement, a rare presentation of RDD with atypical symptoms. A brief assessment of the radiographic appearance, histological findings, and the peculiar manifestations of the disease is provided.
Collapse
|
6
|
Sah A, S. TG, H. CS. Imaging of the Infratemporal Fossa: a Comprehensive Pictorial Essay. Indian J Surg Oncol 2022; 13:868-875. [PMID: 36687258 PMCID: PMC9845485 DOI: 10.1007/s13193-022-01591-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Accepted: 07/12/2022] [Indexed: 01/25/2023] Open
Abstract
While radiologists are familiar with the masticator space, the surgeons are more familiar with the infratemporal fossa (ITF). Though often used interchangeably, there exists a subtle difference between them, which needs to be understood. The close anatomical relationship of the infratemporal fossa to critical structures makes timely diagnosis vital. In this pictorial review, we present a spectrum of various pathologies affecting ITF.
Collapse
Affiliation(s)
- Anjali Sah
- Department of Radio-Diagnosis, IRCH, Institute of Medical Sciences, All India New Delhi, 110029 India
| | | | - Chandrashekhara S. H.
- Department of Radio-Diagnosis, IRCH, Institute of Medical Sciences, All India New Delhi, 110029 India
| |
Collapse
|
7
|
Ríos Y Valles-Valles D, Herrera-Cifuentes SL, Rodríguez-Reyes AA, Rodríguez-Martínez HA, Hernández-Ayuso I, Zárate-Osorno A. Rosai-Dorfman Disease involving the eye and ocular adnexa. Clinicopathologic series of 17 patients. Eur J Ophthalmol 2022; 33:11206721221138319. [PMID: 36373616 DOI: 10.1177/11206721221138319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2024]
Abstract
PURPOSE To describe the clinical features and histopathologic findings of Rosai-Dorfman disease (RDD) with ophthalmic involvement diagnosed at a Mexican ophthalmologic referral center in a period of 62 years. RESULTS A total of 17 cases of RDD with ophthalmologic manifestations in Mexican-mestizo patients were collected. Female predominance was observed in 12 of 17 patients. The mean age was 36 years with a range of 12-76 years. The median age at presentation was 32 years. The orbit was the most affected location with 15 cases. Conjunctival disease was seen in 4 cases: two as isolated lesions, the rest with orbital or uveal involvement . One case suggested choroidal RDD associated to conjunctival and orbital lesion. Three cases presented multifocal disease. A patient with orbital affection developed extranodal disease elsewhere. No concurrent lymphadenopathy was observed in any patient.Histopathological examination revealed classic RDD findings in all cases: A polymorphous cellular infiltrate composed by lymphocytes, plasma cells and large histiocytes with emperipolesis hallmark of the disease. Immunohistochemically, histiocytes were positive for S-100 protein and CD68 in 15 cases. CONCLUSION RDD of the eye and ocular adnexa in Mexican-mestizo patients is common in middle-aged women frequently as an isolated orbital lesion. Histopathology is necessary for accurate diagnosis. Most patients had a favourable outcome after medical and surgical treatment. To the best of our knowledge this is the largest case series of RDD of the eye and ocular adnexa in Latin-American patients.
Collapse
Affiliation(s)
- Dolores Ríos Y Valles-Valles
- Medical Doctor, Anatomopathology, Ocular Pathology, Ophthalmic Pathology Service, Asociación para Evitar la Ceguera en México, IAP, Mexico City, Mexico
| | - Sharon L Herrera-Cifuentes
- Medical Doctor, Anatomopathology, Surgical Pathology, Ocular Pathology, Pathology Service, Hospital Español de México, Mexico City, Mexico
| | - Abelardo A Rodríguez-Reyes
- Medical Doctor, Anatomopathology, Ocular Pathology, Ophthalmic Pathology Service, Asociación para Evitar la Ceguera en México, IAP, Mexico City, Mexico
| | - Héctor A Rodríguez-Martínez
- Medical Doctor, Anatomopathology, Surgical Pathology, Laboratory of Anatomopathology and Experimental Medicine, "Roberto Ruiz Obregón" Facultad de Medicina, UNAM y Hospital General de México "Eduardo Liceaga", Mexico City, Mexico
| | - Ivette Hernández-Ayuso
- Medical Doctor, Ophthalmology, Ocular Pathology, Ophthalmic Pathology Service, Asociación para Evitar la Ceguera en México, IAP, Mexico City, Mexico
| | - Alejandra Zárate-Osorno
- Medical Doctor, Anatomopathology, Surgical Pathology, Ocular Pathology, Pathology Service, Hospital Español de México, Mexico City, Mexico
| |
Collapse
|
8
|
Bin-Alamer O, Bhenderu LS, Palmisciano P, Balasubramanian K, Upadhyay P, Ferini G, Viola A, Zagardo V, Yu K, Cohen-Gadol AA, El Ahmadieh TY, Haider AS. Tumors Involving the Infratemporal Fossa: A Systematic Review of Clinical Characteristics and Treatment Outcomes. Cancers (Basel) 2022; 14:cancers14215420. [PMID: 36358837 PMCID: PMC9655731 DOI: 10.3390/cancers14215420] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2022] [Revised: 10/23/2022] [Accepted: 10/28/2022] [Indexed: 11/06/2022] Open
Abstract
BACKGROUND Infratemporal fossa (ITF) tumors represent various pathologies and are seldom described in the literature, reflecting their rarity. Here we review the literature on tumors invading ITF and describe patient characteristics, treatment strategies, and clinical outcomes. METHODS Relevant articles were retrieved from PubMed, Scopus, and Cochrane. A systematic review and meta-analysis were conducted on the clinical presentation, treatment protocols, and clinical outcomes. RESULT A total of 27 articles containing 106 patients with ITF tumors (median tumor size: 24.3 cm3 [interquartile range, 15.2-42 cm3]) were included (median age: 46 years [interquartile range, 32-55 years]; 59.4% were males]). Of the confirmed tumor pathology data, schwannomas (n = 24; 26.1%) and meningiomas (n = 13; 14.1%) were the most common tumors. Facial hypoesthesia (n = 22; 18.5%), auricular/preauricular pain (n = 20; 16.8%), and headaches (n = 11; 9.2%) were the most common presenting symptoms. Of patients who had surgical resection (n = 97; 95.1%), 70 (73.7%) had transcranial surgery (TCS) and 25 (26.3%) had endoscopic endonasal surgery (EES). Among available details on the extent of resection (n = 84), gross-total resection (GTR) was achieved in 62 (73.8%), and 5 (6.0%) had biopsy only. Thirty-five (33.0%) patients had postoperative complications. Among cases with available data on reconstruction techniques (n = 8), four (50%) had adipofascial antero-lateral thigh flap, three (37.5%) had latissimus dorsi free flap, and one (12.5%) had antero-lateral thigh flap. Fourteen (13.2%) patients had adjuvant chemotherapy, and sixteen (15.1%) had adjuvant radiotherapy. During a median follow-up time of 28 months (IQR, 12.25-45.75 months), 15 (14.2%) patients had recurrences, and 18 (17.0%) patients died. The median overall survival (OS) time was 36 months (95% confidence interval: 29-41 months), and the 5-year progression-free survival (PFS) rate was 61%. CONCLUSION Various tumor types with different biological characteristics invade the ITF. The present study describes patient demographics, clinical presentation, management, and outcomes. Depending on the tumor type and patient condition, patient-tailored management is recommended to optimize treatment outcomes.
Collapse
Affiliation(s)
- Othman Bin-Alamer
- Department of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA
- Correspondence: ; Tel.: +1-(412)-251-2145
| | - Lokeshwar S. Bhenderu
- Department of Neuroscience and Experimental Therapeutics, Texas A&M University Health Science Center, Texas A&M University, Bryan, TX 77807, USA
| | - Paolo Palmisciano
- Department of Neurosurgery, University of Cincinnati College of Medicine, Cincinnati, OH 45267, USA
| | - Kishore Balasubramanian
- Department of Neuroscience and Experimental Therapeutics, Texas A&M University Health Science Center, Texas A&M University, Bryan, TX 77807, USA
| | - Prashant Upadhyay
- Faculty of Medicine, Government Medical College Jalaun, Orai 285001, Uttar Pradesh, India
| | - Gianluca Ferini
- Department of Radiation Oncology, REM Radioterapia srl, 95125 Viagrande, Italy
| | - Anna Viola
- Department of Radiation Oncology, REM Radioterapia srl, 95125 Viagrande, Italy
| | - Valentina Zagardo
- Department of Radiation Oncology, REM Radioterapia srl, 95125 Viagrande, Italy
| | - Kenny Yu
- Department of Neurosurgery, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA
| | - Aaron A. Cohen-Gadol
- Department of Neurological Surgery, Indiana University School of Medicine, Indianapolis, IN 46202, USA
| | | | - Ali S. Haider
- Department of Neurosurgery, The University of Texas M.D. Anderson Cancer Center, Houston, TX 77030, USA
| |
Collapse
|
9
|
Rooper LM, White MJ, Duffield AS, Gagan J, London NR, Montgomery EA, Bishop JA. Limited Sinonasal
Rosai‐Dorfman
Disease Presenting as Chronic Sinusitis. Histopathology 2022; 81:99-107. [PMID: 35426462 PMCID: PMC9324200 DOI: 10.1111/his.14664] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2022] [Revised: 04/08/2022] [Accepted: 04/11/2022] [Indexed: 11/30/2022]
Abstract
Aims The sinonasal tract is a common extranodal site for Rosai–Dorfman disease (RDD). Recently, histiocytes with features of RDD were identified in the clinical setting of chronic sinusitis. This study evaluates whether this phenomenon should be considered part of the RDD spectrum or classified separately as RDD‐like histiocytes. Methods and results We prospectively collected 13 cases showing histological features of RDD in chronic sinusitis patients and identified 14 with similar findings (3.5%) via retrospective review of 403 sinus contents over 2 years. All 27 cases displayed nodular aggregates of eosinophilic histiocytes with intermixed lymphoplasmacytic inflammation, prominent eosinophils and emperipolesis. The histiocytes were positive for S100 protein and cyclin D1 and negative for CD1a and CD207. All patients presented with severe chronic sinusitis without tumour formation or systemic symptoms. Twelve patients with follow‐up (55%) required repeat sinus surgery compared with just 43 other sinusitis patients evaluated (11%); features of RDD were present in their additional specimens. Two cases that underwent targeted next‐generation sequencing (20%) had oncogenic mutations in NF1 and KEAP1. Conclusions Overall, these findings confirm diagnostic histological and immunohistochemical features of RDD in a subset of chronic sinusitis specimens. While patients uniformly lack systemic involvement or tumefactive growth, they have a high risk of recurrent sinus disease. Although the relatively subtle nature of the findings raises consideration of separate classification, the presence of occasional oncogenic mutations and evidence of consistent MAPK/ERK pathway activation via cyclin D1 positivity suggests that this phenomenon represents a unique limited manifestation of RDD.
Collapse
Affiliation(s)
- Lisa M. Rooper
- Department of Pathology The Johns Hopkins University School of Medicine Baltimore MD USA
- Department of Oncology The Johns Hopkins University School of Medicine Baltimore MD USA
| | - Marissa J. White
- Department of Pathology The Johns Hopkins University School of Medicine Baltimore MD USA
| | - Amy S. Duffield
- Department of Pathology, Memorial Sloan‐Kettering Cancer Center New York NY USA
| | - Jeffrey Gagan
- Department of Pathology University of Texas Southwestern Medical Center Dallas TX USA
| | - Nyall R. London
- Department of Oncology The Johns Hopkins University School of Medicine Baltimore MD USA
- Department of Otolaryngology The Johns Hopkins University School of Medicine Baltimore MD USA
| | - Elizabeth A. Montgomery
- Department of Pathology and Laboratory Medicine University of Miami Miller School of Medicine Miami FL USA
| | - Justin A. Bishop
- Department of Pathology University of Texas Southwestern Medical Center Dallas TX USA
| |
Collapse
|
10
|
Garcia RA, DiCarlo EF. Rosai-Dorfman Disease of Bone and Soft Tissue. Arch Pathol Lab Med 2021; 146:40-46. [DOI: 10.5858/arpa.2021-0116-ra] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/25/2021] [Indexed: 11/06/2022]
Abstract
Context.—
Rosai-Dorfman disease is a rare histiocytic proliferative disorder of unknown pathogenesis that may be diagnostically difficult in extranodal sites. It is commonly an unsuspected diagnosis when arising in bone and soft tissue, especially when it presents without associated lymphadenopathy. Its variable clinical presentation and nonspecific imaging findings make the diagnosis quite challenging, particularly in small biopsies. The problem is compounded by its less-characteristic histomorphologic features in comparison with nodal disease. Awareness of the potential diagnostic pitfalls in Rosai-Dorfman disease of bone and soft tissue should raise the degree of diagnostic accuracy.
Objective.—
To review the clinical manifestations, imaging characteristics, and histomorphologic features of Rosai-Dorfman disease of bone and soft tissue along with a brief discussion of its differential diagnosis, pathogenesis, and current management.
Data Sources.—
Thorough review of the literature with focus on clinical manifestations, imaging findings, key histomorphologic features, pathogenesis, and treatment.
Conclusions.—
The diagnosis of Rosai-Dorfman disease of bone and soft tissue may be quite challenging because of its variable clinical presentation and nonspecific imaging findings. It may be asymptomatic without systemic manifestations or associated lymphadenopathy. The definitive diagnosis relies on histopathologic identification of the characteristic S-100–positive histiocytes demonstrating emperipolesis. Bone and soft tissue lesions tend to have lower numbers of characteristic histiocytes and less conspicuous emperipolesis and often demonstrate areas of fibrosis or storiform spindle cell areas resembling fibrohistiocytic lesions. Awareness of these unusual features is necessary in order to consider Rosai-Dorfman disease in the differential diagnosis when confronting these rare and often misleading lesions.
Collapse
Affiliation(s)
- Roberto A. Garcia
- From the Department of Pathology and Laboratory Medicine, Hospital for Special Surgery, Weill Cornell Medical College, New York, New York
| | - Edward F. DiCarlo
- From the Department of Pathology and Laboratory Medicine, Hospital for Special Surgery, Weill Cornell Medical College, New York, New York
| |
Collapse
|
11
|
Lee C, Choi N, Lee Y, Park JH, Son YI. A Case of Nasal Cavity and Laryngeal Involvement of Rosai-Dorfman Disease. EAR, NOSE & THROAT JOURNAL 2021:1455613211054632. [PMID: 34841915 DOI: 10.1177/01455613211054632] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Rosai-Dorfman disease (RDD) is a rare non-malignant disorder, characterized by painless multiple cervical lymphadenopathy, fever, and elevated inflammatory markers. Its diagnosis is difficult due to its rare incidence and various clinical presentations, especially in extranodal involvement. In this report, we demonstrate a patient with RDD who presented with a nasal septum and laryngeal tumor that caused dyspnea. We achieved a successful treatment outcome with combined surgical resection of the laryngeal mass and corticosteroid medication. The symptoms and tumors were resolved within 3 weeks after treatment. We reported our experiences with review of literatures.
Collapse
Affiliation(s)
- Changhee Lee
- Department of Otorhinolaryngology-Head and Neck Surgery, 36626Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
| | - Nayeon Choi
- Department of Otorhinolaryngology-Head and Neck Surgery, 36626Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
| | - Yurimi Lee
- Department of Pathology and Translational Genomics, 36626Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
| | - Joo Hyun Park
- Department of Otorhinolaryngology-Head and Neck Surgery, 36626Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
| | - Young-Ik Son
- Department of Otorhinolaryngology-Head and Neck Surgery, 36626Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
| |
Collapse
|
12
|
Azari-Yaam A, Abdolsalehi MR, Vasei M, Safavi M, Mehdizadeh M. Rosai-Dorfman Disease: A Rare Clinicopathological Presentation and Review of the Literature. Head Neck Pathol 2021; 15:352-360. [PMID: 32504287 PMCID: PMC8010025 DOI: 10.1007/s12105-020-01183-7] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/21/2020] [Revised: 05/20/2020] [Accepted: 05/28/2020] [Indexed: 12/14/2022]
Abstract
Rosai-Dorfman disease (RDD) is a rare and self-limiting disease process that presents most commonly in young patients as massive, painless, cervical lymphadenopathy. Extranodal involvement may also occur. Histopathologic evaluation is the main diagnostic modality. We report an unusual presentation of RDD with cervical lymphadenopathy and an incidentally discovered sinonasal mass, clinically worrisome for malignancy. We emphasize that a high index of clinical suspicion is critical for accurate diagnosis of RDD. Clinicians and pathologists should consider RDD in a differential diagnosis of cervical lymphadenopathy, especially in young patients.
Collapse
Affiliation(s)
- Aileen Azari-Yaam
- Molecular Pathology and Cytogenetics Division, Department of Pathology, Children's Medical Center, Tehran University of Medical Sciences, No 63, Gharib Ave, Keshavarz Blv, Tehran, 1419733151, Iran.
| | - Mohammad Reza Abdolsalehi
- Department of Infectious Diseases, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran
| | - Mohammad Vasei
- Molecular Pathology and Cytogenetics Division, Department of Pathology, Children's Medical Center, Tehran University of Medical Sciences, No 63, Gharib Ave, Keshavarz Blv, Tehran, 1419733151, Iran
| | - Moeinadin Safavi
- Molecular Pathology and Cytogenetics Division, Department of Pathology, Children's Medical Center, Tehran University of Medical Sciences, No 63, Gharib Ave, Keshavarz Blv, Tehran, 1419733151, Iran
| | - Mehrzad Mehdizadeh
- Department of Radiology, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran
| |
Collapse
|
13
|
Vora Z, Hemachandran N, Sharma S. Imaging of Lacrimal Gland Pathologies: A Radiological Pattern-Based Approach. Curr Probl Diagn Radiol 2020; 50:738-748. [PMID: 33077289 DOI: 10.1067/j.cpradiol.2020.09.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2020] [Revised: 09/06/2020] [Accepted: 09/15/2020] [Indexed: 11/22/2022]
Abstract
Despite their unassuming size, lacrimal glands can have a variety of pathologies affecting them which often poses a diagnostic challenge clinically in view of their nonspecific presentation as palpable lump in the superolateral aspect of the orbit. There are a myriad of pathological entities ranging from inflammatory to neoplastic lesions that can affect the lacrimal glands. Cross-sectional imaging is must for the detection, characterization, and mapping of these lesions. In this pictorial review, we propose a radiological pattern-based approach for various lacrimal gland lesions that provides a working algorithm for radiologists in the evaluation of lacrimal gland pathologies.
Collapse
Affiliation(s)
- Zainab Vora
- Department of Radiodiagnosis, AIIMS, New Delhi, India
| | | | - Sanjay Sharma
- Department of Radiodiagnosis, AIIMS, New Delhi, India.
| |
Collapse
|
14
|
Danisious T, Hettiarachchi M, Dharmadasa C, Jayaweera H. Rosai-Dorfman disease with renal involvement and associated autoimmune haemolytic anaemia in a 12-year-old girl: A case report. BMC Pediatr 2020; 20:470. [PMID: 33032570 PMCID: PMC7545564 DOI: 10.1186/s12887-020-02368-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Accepted: 09/30/2020] [Indexed: 11/16/2022] Open
Abstract
Background Rosai- Dorfman Disease (RDD) is a benign condition of unknown aetiology which is characterized by non-neoplastic proliferation of histiocytes. Pathophysiology and natural history remain obscure due to the low prevalence of disease. It is known to present with nodal or extranodal involvement and occurrence in the genitourinary system could lead to dreadful complications. RDD is diagnosed by demonstrating emperipolesis on histology and supported by S100 positivity in immunohistochemistry. Treatment is tailored individually and includes expectant monitoring, steroids, surgery, chemotherapy and radiotherapy. Prognosis will be poor if there is involvement of vital organs. We report a rare case of renal Rosai-Dorfman Disease in a 12-year-old girl which also associated with cold type autoimmune haemolytic anaemia (AIHA). Case presentation A previously healthy, 12-year-old girl presented with low grade fever and cough over one month. On examination, she was pale, mildly icteric and had a firm mass in the left hypochondrial region. Her blood count revealed significant eosinophilia, normocytic normochromic anaemia and thrombocytosis. Further laboratory investigations revealed reticulocytosis, positive urine urobilinogen, positive direct antiglobulin test and red blood cell agglutination on blood picture suggestive of autoimmune haemolytic anaemia. Ultrasound scan of abdomen revealed paraaortic and left side retroperitoneal lymphadenopathy with left renal mass. It was further evaluated by Contrast Enhanced Computed Tomography (CECT). Biopsy was done and that concluded sinus histiocytosis with massive lymphadenopathy (SHML) with positive S100 and CD1a in immunohistochemistry. Child was treated with steroids however there was no significant response as assessed by repeat CT and has been commenced on chemotherapy. Conclusion RDD is believed to be due to host immune dysregulation and precise diagnosis is imperative. It should be considered as differential diagnosis in a child presenting with massive lymphadenopathy and AIHA. Association between RDD and AIHA may possibly be explained by abnormal immune response of the host.
Collapse
Affiliation(s)
| | | | - Chanuka Dharmadasa
- Sirimavo Bandaranaike Specialized Children's Hospital, Peradeniya, Sri Lanka
| | - Heshan Jayaweera
- Professorial Paediatric Unit, Teaching Hospital, Peradeniya, Sri Lanka
| |
Collapse
|
15
|
Tan GZL, Petersson F, Xu X, Thamboo TP. An intriguing 'cyst' of the ear. J Clin Pathol 2020; 74:e2. [PMID: 32513844 DOI: 10.1136/jclinpath-2020-206475] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2020] [Revised: 05/13/2020] [Accepted: 05/17/2020] [Indexed: 11/03/2022]
Affiliation(s)
| | | | - Xinni Xu
- Department of Otolaryngology-Head and Neck Surgery, National University Hospital, Singapore
| | | |
Collapse
|
16
|
Disease Characteristics, Radiologic Patterns, Comorbid Diseases, and Ethnic Differences in 32 Patients With Rosai-Dorfman Disease. J Comput Assist Tomogr 2020; 44:450-461. [PMID: 31972751 DOI: 10.1097/rct.0000000000000983] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE Rosai-Dorfman disease (RDD) is a rare and idiopathic nonneoplastic disease of histiocytes that is characterized by lymphadenopathy and extranodal disease. In this study, we documented anatomical preferences, imaging findings, comorbid diseases, and ethnic differences in 32 RDD patients. METHODS We conducted a retrospective review of pathologically confirmed cases seen at our institution from 1998 to 2016. These cases were analyzed for (a) anatomical locations, (b) radiologic appearance, (c) comorbid diseases, and (d) differences between ethnic groups. RESULTS We found 32 patients with RDD, 18 were women and 14 were men. There were 51 lesions in all patients, 23.5% of which were nodal, involving 11 lymph node regions, and 76.5% were extranodal. Cervical lymph nodes and maxillofacial area were the most common affected nodal and extranodal locations, respectively. Only 4 (12.5%) of 32 patients had pure nodal involvement, whereas 20 (62.5%) of 32 had pure extranodal disease and 8 (25%) of 32 had mixed nodal and extranodal disease.Anatomically, RDD affected multiple organs in our cohort, including the lymphatic system, maxillofacial area (glandular and nonglandular tissues), superficial soft tissue, central nervous system, breast, peritoneum, gastrointestinal tract, and lungs.Radiologically, RDD presentation was variable from an organ to another. However, most lesions were hypermetabolic on 18F-fluorodeoxyglucose positron-emission tomography/computed tomography and isointense on T1-weighted magnetic resonance imaging. Computed tomographic findings were extremely variable between organs.Comorbid diseases were found in 11 patients. Those patients had 17 comorbid diseases; the most common were autoimmune diseases, viral diseases, and cancer.The organ distribution of RDD was slightly different between ethnic groups. The most frequent disease location for African Americans was lymph nodes; for whites, central nervous system and nonglandular maxillofacial (27.3% each); for Asians, lymph nodes, subcutaneous tissue, and nonglandular maxillofacial (25% each); and for Hispanics, lymph nodes and glandular maxillofacial (33.3% each). CONCLUSIONS Rosai-Dorfman disease represents a wide-spectrum disease not limited to lymph nodes. Radiologically, RDD has diverse imaging findings. However, most lesions were hypermetabolic on 18F-fluorodeoxyglucose positron-emission tomography/computed tomography and isointense on T1-weighted imaging. Patients with RDD have a high rate of comorbid diseases including autoimmune disease, viral infections, and cancer.
Collapse
|
17
|
SEONG KİN F, CHENG Aİ O, HUSSAİN FA, GOH BS. A great mimicker of mastoiditis- Multisystem Langerhans’ cell histiocytosis. ENT UPDATES 2020. [DOI: 10.32448/entupdates.673014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
|
18
|
Clinical pathology conference case 5: bilateral maxillary sinus resorptive disease with palatal ulceration in a 42-year-old patient. Oral Surg Oral Med Oral Pathol Oral Radiol 2019. [DOI: 10.1016/j.oooo.2019.02.260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
|
19
|
A new phenomenon of Rosai-Dorfman disease: half body stabbing pain accompanied by hypopharyngeal, laryngeal, and cervical lymph node lesions. Chin Med J (Engl) 2019; 132:2257-2258. [PMID: 31490260 PMCID: PMC6797150 DOI: 10.1097/cm9.0000000000000430] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
|
20
|
Ojha J, Rawal YB, Hornick JL, Magliocca K, Montgomery DR, Foss RD, Torske KR, Accurso B. Extra Nodal Rosai-Dorfman Disease Originating in the Nasal and Paranasal Complex and Gnathic Bones: A Systematic Analysis of Seven Cases and Review of Literature. Head Neck Pathol 2019; 14:442-453. [PMID: 31368076 PMCID: PMC7235143 DOI: 10.1007/s12105-019-01056-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/26/2019] [Accepted: 07/15/2019] [Indexed: 01/13/2023]
Abstract
Rosai-Dorfman disease (RDD) is a benign, self-limiting histiocytosis of unknown etiology. The classic form of the condition includes a painless cervical lymphaenopathy accompanied by fever, weight loss and an elevated ESR. Extra nodal RDD (ENRDD) is most frequent in the head and neck. Thirty-eight cases of ENRDD have been described. Seven cases of ENRDD were identified in our pathology biopsy services. The demographic and clinical information was tabulated logically on the basis of age, gender, location and presence or absence of symptoms, treatment and follow-up. Radiographic and histopathological features were also examined. The findings in these cases were correlated with those available from the previously reported cases. Six cases affected women and one case was diagnosed in a male. The age ranged from 22-55 years. Three cases presented as a nasal mass. One of these lesions extended into the paranasal sinuses. One case was located in the maxilla and extended to involve the maxillary sinus. Three cases were diagnosed in the mandible. The maxillary and one mandibular lesion (Case 2) resulted in significant painful irregular bone destruction with a non-healing socket and tooth mobility respectively. One mandibular lesion was asymptomatic (Case 6). The third case affecting the mandible presented as a rapidly expansile mass following a tooth extraction (Case 7). Nasal masses presented with symptoms of obstruction. Nasal masses were excised with no recurrence from up to 2-3 years of follow-up. The mandibular lesions were curetted aggressively. The oral mass in Case 7 was excised synchronously. No recurrence up to 2 years was recorded in Case 2. Follow-up information is not available for Cases 6 and 7. The maxillary lesion was not intervened surgically. The patient has persistent but stable disease for a follow-up period of 2 years. ENRDD is rarely considered in the differential diagnosis in the absence of lymph node involvement. Lesions of ENRDD resemble many other histiocytic and histiocyte-rich lesions of the head and neck. This makes the diagnosis of ENRDD challenging with the potential for under diagnosis or misdiagnosis and delay in treatment.
Collapse
Affiliation(s)
- Junu Ojha
- Department of Integrated Biomedical Sciences, University of Detroit Mercy School of Dentistry, Detroit, MI 48208 USA
| | - Yeshwant B. Rawal
- Department of Oral and Maxillofacial Surgery, B204, 1959 NE Pacific Street, Seattle, WA 98195 USA
| | - Jason L. Hornick
- Department of Pathology, Harvard Medical School, Brigham & Women’s Hospital, 75 Francis Street, Boston, MA 02115 USA
| | - Kelly Magliocca
- Department of Pathology & Laboratory Medicine, Emory University School of Medicine, 1364 Clifton Rd NE, Atlanta, GA 30322 USA
| | | | - Robert D. Foss
- Head and Neck Pathology, Joint Pathology Center, 606, Stephen Sitter Ave, Silver Spring, MD 20910 USA
| | - Kevin R. Torske
- Department of Pathology, Naval Medical Center Portsmouth, Portsmouth, VA 23708 USA
| | - Brent Accurso
- Oral Pathology Consultants, St. Joseph Mercy-Oakland Hospital, Pontiac, MI 48341 USA
| |
Collapse
|
21
|
Purely Cutaneous Rosai-Dorfman Disease: a True Clinical Diagnosis Challenge. ARS MEDICA TOMITANA 2019. [DOI: 10.2478/arsm-2018-0035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Abstract
Rosai-Dorfman disease (RDD) is a rare idiopathic benign disease, self-limited non-Langerhans cell histiocytosis, most frequently presented as a massive bilateral and painless lymphadenopathy, associated with fever and weight loss. Extranodal manifestations of RDD represents a true diagnosis challenge for clinicians and surgical pathologists. A 64-year-old female, known with arterial hypertension and type 2 diabetes, presented to our Surgery Clinic for a left arm painless cutaneous tumour, having its onset one year before, and rapidly enlarged in the last two months. Physical examination revealed a firm and elastic cutaneous nodular lesion of 4 x 2 cm in size, prominent to the skin, with central ulceration area of 10 x 5 mm, located on the posterior side of the left arm. Surgery was performed, with lymphoma as a differential diagnosis at intraoperative extemporaneous examination. The RDD disease diagnosis was considered at histopathological analysis and confirmed by immunohistochemistry. Herein, we describe a rare case of purely cutaneous RDD presenting as unique cutaneous ulcerative nodular lesion, surgical treated only, and without local relapse after one-year follow-up.
Collapse
|
22
|
|
23
|
Hamza A, Zhang Z, Al-Khafaji B. Solitary extranodal Rosai-Dorfman disease of the mandible: an exceedingly rare presentation. AUTOPSY AND CASE REPORTS 2018; 8:e2018036. [PMID: 30101140 PMCID: PMC6066264 DOI: 10.4322/acr.2018.036] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2018] [Accepted: 06/19/2018] [Indexed: 11/23/2022] Open
Abstract
Sinus histiocytosis with massive lymphadenopathy, generally known by the name of Rosai-Dorfman disease is a rare benign condition principally affecting cervical lymph nodes. Concurrent extra-nodal disease frequently occurs, however, solitary extra-nodal disease involving the mandible is exceedingly rare with less than five reported cases in the English literature. We describe a case of primary involvement of the mandible in a 27-year-old female, and discuss the differential diagnosis of this disease with other histiocytic lesions.
Collapse
Affiliation(s)
- Ameer Hamza
- St. John Hospital and Medical Center, Department of Pathology. Detroit, MI, United States of America
| | - Zhifei Zhang
- St. John Hospital and Medical Center, Department of Pathology. Detroit, MI, United States of America
| | - Basim Al-Khafaji
- St. John Hospital and Medical Center, Department of Pathology. Detroit, MI, United States of America
| |
Collapse
|
24
|
Rajib RC, Pillai R, Sulaiman IA, Al-Haddabi I. Soft Tissue Rosai-Dorfman Disease: Case report. Sultan Qaboos Univ Med J 2018; 17:e452-e454. [PMID: 29372088 DOI: 10.18295/squmj.2017.17.04.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2017] [Revised: 08/08/2017] [Accepted: 08/24/2017] [Indexed: 11/16/2022] Open
Abstract
Rosai-Dorfman disease (RDD) is a rare benign proliferative histiocytic disorder characterised by massive lymphadenopathy. While extranodal involvement can occur in generalised RDD, isolated soft tissue RDD (STRDD) is extremely rare. We report a 17-year-old male patient who presented to the maxillofacial outpatient department of the Sultan Qaboos Hospital, Salalah, Oman, in 2015 with a painless cheek mass which had been slowly growing over the previous two months. Routine histopathological examinations and immunohistochemistry confirmed a diagnosis of STRDD. Currently, surgical excision is considered to be the most effective curative treatment for STRDD, as the outcomes of other treatment modalities are still unknown. Despite its rarity, STRDD should be considered in the differential diagnosis of histiocytic soft tissue lesions.
Collapse
Affiliation(s)
- Rubyath C Rajib
- Department of Pathology & Laboratory Medicine, Sultan Qaboos Hospital, Salalah, Oman
| | - Rajasekharan Pillai
- Department of Pathology & Laboratory Medicine, Sultan Qaboos Hospital, Salalah, Oman
| | - Ibrahim A Sulaiman
- Department of Pathology & Laboratory Medicine, Sultan Qaboos Hospital, Salalah, Oman
| | - Ibrahim Al-Haddabi
- Department of Pathology, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman
| |
Collapse
|
25
|
Piris MA, Aguirregoicoa E, Montes-Moreno S, Celeiro-Muñoz C. Castleman Disease and Rosai-Dorfman Disease. Semin Diagn Pathol 2018; 35:44-53. [DOI: 10.1053/j.semdp.2017.11.014] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
|
26
|
Saha A, Tocaciu S, Subramanian B. Primary Xanthoma of the Mandible-A Case Report. J Oral Maxillofac Surg 2017; 76:374.e1-374.e4. [PMID: 29125930 DOI: 10.1016/j.joms.2017.10.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2017] [Revised: 10/01/2017] [Accepted: 10/05/2017] [Indexed: 11/17/2022]
Abstract
Xanthomas are common cutaneous and subcutaneous lesions that occur due to altered metabolic or endocrinal function. They are found on skin and around tendon sheaths in individuals with dyslipidemias. In extremely rare cases, they can present as isolated intrabony lesions in otherwise healthy individuals. The isolated intrabony lesions are referred to as primary xanthomas. This report describes a case of an incidentally found primary xanthoma, its management, and follow-up in an otherwise healthy patient.
Collapse
Affiliation(s)
- Anik Saha
- Oral Surgery Resident, Department of Oral and Maxillofacial Surgery, Royal Dental Hospital Melbourne, Carlton, VIC, Australia.
| | - Shreya Tocaciu
- Oral and Maxillofacial Registrar, Department of Oral and Maxillofacial Surgery, Royal Dental Hospital Melbourne, Carlton, VIC, Australia
| | - Balanand Subramanian
- Oral Surgery Consultant, Department of Oral and Maxillofacial Surgery, Royal Dental Hospital Melbourne, Carlton, VIC, Australia
| |
Collapse
|
27
|
Cai Y, Shi Z, Bai Y. Review of Rosai-Dorfman Disease: New Insights into the Pathogenesis of This Rare Disorder. Acta Haematol 2017; 138:14-23. [PMID: 28614806 DOI: 10.1159/000475588] [Citation(s) in RCA: 30] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2016] [Accepted: 04/10/2017] [Indexed: 12/22/2022]
Abstract
Rosai-Dorfman disease (RDD) is a rare histiocytosis typically with bilateral painless cervical lymphadenopathy. Laboratory data are nonspecific, and the presence of emperipolesis in large foamy S-100+ CD1a- histiocytes is the prominent histologic feature. The pathogenesis of RDD still remains elusive. According to published studies, we propose that RDD cells might represent intermediate recruiting monocytes with differentiation blockade. Both disturbance of homoeostasis and inherent genomic alterations could contribute to initiation of the disorder through signal transduction. Several inflammatory molecules such as macrophage colony-stimulating factor, IL-1β, IL-6, and tumor necrosis factor-α also play a pivotal role in the development of this rare entity. Additional studies are needed to further elucidate the essence of the disease.
Collapse
Affiliation(s)
- Yanan Cai
- Department of Hematology/Oncology, China-Japan Union Hospital of Jilin University, Changchun, China
| | | | | |
Collapse
|
28
|
Tripathi R, Serajee F, Jiang H, Huq AHMM. Novel Presentation of Rosai-Dorfman Histiocytosis With a Prolonged Course of Cranial and Peripheral Neuropathies. Pediatr Neurol 2017; 71:70-72. [PMID: 28377039 DOI: 10.1016/j.pediatrneurol.2017.02.013] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/07/2016] [Revised: 02/28/2017] [Accepted: 02/28/2017] [Indexed: 10/20/2022]
Abstract
BACKGROUND Rosai-Dorfman disease is a form of histiocytosis affecting the systemic lymph nodes. Intracranial Rosai-Dorfman disease is rare and presents with extra-parenchymal or intraparenchymal proliferative mass lesions. Cranial neuropathy has not been reported in Rosai-Dorfman disease except when caused by mass effect by an adjacent lesion. PATIENT DESCRIPTION We describe a girl with Rosai-Dorfman disease who presented with peripheral and multiple cranial neuropathies. Detailed clinical, immunologic, neurophysiology, imaging, and genetic studies were performed. She had a prolonged course but recovered fully after immune therapies. She had increased titers of striated muscle and smooth muscle antibodies. Imaging studies revealed contrast enhancement of cranial nerves and striated muscles. Demyelination was evident in the nerve twigs from muscle biopsy. Exome sequencing did not reveal a genetic mutation. CONCLUSIONS Most patients with Rosai-Dorfman disease have a benign course, but severe neurological dysfunction due to bulbar involvement and cranial and peripheral neuropathies may occur. Treatment with immunoglobulin and steroids may be of benefit.
Collapse
Affiliation(s)
- Richa Tripathi
- Department of Pediatrics and Neurology, Wayne State University, Detroit, Michigan.
| | - Fatema Serajee
- Department of Pediatrics and Neurology, Wayne State University, Detroit, Michigan
| | - Huiyuan Jiang
- Department of Pediatrics and Neurology, Wayne State University, Detroit, Michigan
| | - A H M Mahbubul Huq
- Department of Pediatrics and Neurology, Wayne State University, Detroit, Michigan
| |
Collapse
|
29
|
[Unusual bilateral eyelid and orbital involvement in Rosai-Dorfman disease (a comprehensive literature review and case report)]. J Fr Ophtalmol 2016; 39:e221-e225. [PMID: 27634472 DOI: 10.1016/j.jfo.2016.05.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2015] [Revised: 05/24/2016] [Accepted: 05/30/2016] [Indexed: 11/21/2022]
|
30
|
|
31
|
Abstract
Imaging evaluation of sinonasal tumors is most often conducted with computed tomography, which excels at identifying the effects of these masses on adjacent osseous structures, and magnetic resonance imaging that is ideal for distinguishing pathologic masses from mucosal thickening and fluid that are common in the sinonasal spaces and depicting extension into the surrounding soft tissues, orbits, and intracranial compartment. Accordingly, the two studies are complementary exams and both are commonly utilized in the assessment of these masses. Less commonly, positron emission tomography can provide additional metabolic evaluation of potential metastatic disease in patients with malignant disease. While these imaging modalities are excellent for the portrayal of an abnormality, there is considerable overlap in the imaging appearance of these tumors and specific imaging manifestations linked to a particular tumor are frequently lacking. Therefore, while the mass may be readily identified, narrowing the differential diagnosis to a single specific entity is rare. Nevertheless, cross-sectional imaging plays an essential role in patient management and valuable guidance for successful biopsy or surgical resection in virtually all cases. This review emphasizes essential imaging manifestations that correlate with sinonasal tumors in general and highlight certain features that may implicate a specific disease process.
Collapse
Affiliation(s)
- Kelly K. Koeller
- Department of Radiology, Neuroradiology Section, American Institute for Radiologic Pathology, Silver Spring, MD USA ,Mayo Clinic, 200 First Street SW, Rochester, MN USA
| |
Collapse
|
32
|
Yajima M, Nakajima K, Hirato J, Chikamatsu K. Extranodal soft tissue Rosai-Dorfman disease of the head and neck and its diagnostic difficulty. Auris Nasus Larynx 2015; 43:345-9. [PMID: 26526642 DOI: 10.1016/j.anl.2015.09.008] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2015] [Revised: 08/10/2015] [Accepted: 09/30/2015] [Indexed: 12/21/2022]
Abstract
Rosai-Dorfman disease (RDD) is a rare proliferative histiocytic disorder that is characterized by persistent massive lymphadenopathy mimicking malignant tumors. Extranodal RDD is uncommon, and more severe fibrosis and fewer histiocytes in lesions make the diagnosis of RDD more difficult than that of nodal RDD. We herein described a 31-year-old male patient with isolated soft tissue RDD of the head and neck. The patient was referred to our hospital with a right neck mass. Computed tomography (CT) scans showed a diffuse enhanced tumor with an unclear border in the right side of the neck. 18F-fluorodeoxyglucose positron emission tomography (PET)/CT revealed high uptake in the corresponding lesion. Second wide local excisional biopsy led to a diagnosis of RDD, and immunohistochemistry was useful for diagnosing RDD. A systemic treatment with steroids improved his symptoms, including the neck mass. Physicians need to consider the diagnostic difficulty associated with extranodal soft tissue RDD as well as its rarity.
Collapse
Affiliation(s)
- Mika Yajima
- Department of Otolaryngology-Head and Neck Surgery, Gunma University Graduate School of Medicine, Japan
| | - Kyoko Nakajima
- Department of Otolaryngology-Head and Neck Surgery, Gunma University Graduate School of Medicine, Japan
| | - Junko Hirato
- Clinical Department of Pathology, Gunma University Hospital, Japan
| | - Kazuaki Chikamatsu
- Department of Otolaryngology-Head and Neck Surgery, Gunma University Graduate School of Medicine, Japan.
| |
Collapse
|
33
|
Kaskas NM, Kern M, Johnson A, Hughes MP, Hardee M, Day J, Gokden M, Shalin SC, Gao L. A Case of Cutaneous Rosai-Dorfman Disease with underlying calvarial involvement and absence of BRAF V600E mutation. JAAD Case Rep 2015; 1:408-411. [PMID: 26858984 PMCID: PMC4743046 DOI: 10.1016/j.jdcr.2015.10.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Affiliation(s)
| | - Malan Kern
- College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, United States
| | - Andrew Johnson
- Department of Dermatology, University of Arkansas for Medical Sciences, Little Rock, AR, United States
| | - Matthew P Hughes
- Department of Dermatology, University of Arkansas for Medical Sciences, Little Rock, AR, United States
| | - Matthew Hardee
- Department of Radiation Oncology, University of Arkansas for Medical Sciences, Little Rock, AR, United States
| | - John Day
- Department of Neurosurgery, University of Arkansas for Medical Sciences, Little Rock, AR, United States
| | - Murat Gokden
- Department of Pathology, University of Arkansas for Medical Sciences, Little Rock, AR, United States
| | - Sara C Shalin
- Department of Dermatology, University of Arkansas for Medical Sciences, Little Rock, AR, United States; Department of Pathology, University of Arkansas for Medical Sciences, Little Rock, AR, United States
| | - Ling Gao
- Department of Dermatology, University of Arkansas for Medical Sciences, Little Rock, AR, United States
| |
Collapse
|
34
|
Bösmüller H, Nann D, Horger M, Fend F. Erdheim-Chester- und Rosai-Dorfman-Erkrankung. DER PATHOLOGE 2015; 36:458-66. [DOI: 10.1007/s00292-015-0057-4] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
|
35
|
Isolated spinal Rosai-Dorfman disease misdiagnosed as lymphoplasmacyte-rich meningioma by intraoperative histological examination. Brain Tumor Pathol 2014; 32:72-5. [PMID: 24577670 DOI: 10.1007/s10014-014-0181-5] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2014] [Accepted: 02/07/2014] [Indexed: 12/13/2022]
|
36
|
A rare case of "rosai-dorfman disease". Indian J Otolaryngol Head Neck Surg 2014; 65:319-21. [PMID: 24427591 DOI: 10.1007/s12070-012-0567-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2011] [Accepted: 11/10/2011] [Indexed: 10/28/2022] Open
Abstract
Sinus histiocytosis with massive lymphadenopathy (SHML) is a benign proliferating histiocytic disorder, predominantly of lymphnodes with extranodal involvement also seen. We present a case of 35 years old female with history of multiple swellings in neck since 1 month duration. On examination patient had painless bilateral cervical lymphadenopathy. No other ENT manifestations noted. Lymphnode biopsy revealed SHML. Abdominal scan and chest X-ray was done which was normal. This case report highlights the clinical, histological aspects of SHML, Rosai-Dorfman disease.
Collapse
|
37
|
Toguri D, Louie AV, Rizkalla K, Franklin J, Rodrigues G, Venkatesan V. Radiotherapy for steroid-resistant laryngeal Rosai-Dorfman disease. ACTA ACUST UNITED AC 2012; 18:e158-62. [PMID: 21655154 DOI: 10.3747/co.v18i3.761] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Rosai-Dorfman disease is a rare lymphoproliferative disorder that can have nodal and extranodal manifestations. In the absence of established guidelines for the management of this condition, various therapeutic modalities are used, including radiotherapy. Radiation dosages and fractionation schedules have not been reported in all instances. We present a case in which glottic and subglottic Rosai-Dorfman lesions causing airway obstruction in a frail steroid-refractory patient were put into complete remission using radiotherapy. The lesions responded transiently to a course of prednisone, but responded completely to external-beam radiation, with minimal side effects to the patient.
Collapse
Affiliation(s)
- D Toguri
- University of Western Ontario, Schulich School of Medicine and Dentistry, London, ON
| | | | | | | | | | | |
Collapse
|
38
|
Primary Splenic Diffuse Large B-Cell Lymphoma in a Patient With Thymus Rosai-Dorfman Disease. Am J Med Sci 2012; 344:155-9. [DOI: 10.1097/maj.0b013e31824e940d] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
39
|
Zhu H, Qiu LH, Dou YF, Wu JS, Zhong P, Jiang CC, Xu R, Wang XQ. Imaging characteristics of Rosai-Dorfman disease in the central nervous system. Eur J Radiol 2012; 81:1265-72. [DOI: 10.1016/j.ejrad.2011.03.006] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2011] [Revised: 02/25/2011] [Accepted: 03/01/2011] [Indexed: 11/29/2022]
|
40
|
Tekin U, Tüz HH, Günhan Ö. Reconstruction of a Patient With Rosai-Dorfman Disease Using Ramus Graft and Osseointegrated Implants: A Case Report. J ORAL IMPLANTOL 2012; 38:79-83. [DOI: 10.1563/aaid-joi-d-10-00056.1] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Affiliation(s)
- Umut Tekin
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Kirikkale, Kirikkale, Turkey
| | - Hakan H. Tüz
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Kirikkale, Kirikkale, Turkey
| | - Ömer Günhan
- Department of Pathology, Gulhane Military Medical Academy, Ankara, Turkey
| |
Collapse
|
41
|
|
42
|
Nalini A, Jitender S, Anantaram G, Santosh V. Rosai Dorfman disease: case with extensive dural involvement and cerebrospinal fluid pleocytosis. J Neurol Sci 2011; 314:152-4. [PMID: 22029938 DOI: 10.1016/j.jns.2011.10.002] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2011] [Accepted: 10/03/2011] [Indexed: 11/28/2022]
Abstract
We report a young adult man who presented with chronic raised intracranial tension features and unusually progressive bilateral visual and hearing impairment of 18 months duration. MR imaging showed extensive dural involvement and contiguous orbital and spinal disease. Cerebrospinal fluid demonstrated persistent high lymphocytic pleocytosis. Dural biopsy obtained from posterior cervical approach with C1 arch excision and meningeal biopsy revealed features of classical of Rosai-Dorfman disease. Histiocytes were strongly positive for CD-68 and S-100 proteins. The illness relentlessly progressed with patient developing total deafness and near total blindness at last follow-up.
Collapse
Affiliation(s)
- Atchayaram Nalini
- Department of Neurology, National Institute of Mental Health and Neurosciences, Bangalore, India.
| | | | | | | |
Collapse
|
43
|
[Rosai-Dorfman disease: therapeutic issues in 2 cases]. Arch Pediatr 2011; 18:1205-9. [PMID: 21992893 DOI: 10.1016/j.arcped.2011.08.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2010] [Revised: 10/13/2010] [Accepted: 08/12/2011] [Indexed: 11/20/2022]
Abstract
Rosai-Dorfman disease (RDD) is a benign lymphoproliferative disorder characterized by cervical lymph node enlargement with a consistent risk of airway compression and esthetic damage. Extranodal localizations are also described. There is no therapeutic consensus for pediatric forms of RDD. Through 2 pediatric cases with nodal involvement in 1 patient and a sinonasal and soft tissue localization in the other, we focus on the management problems of both nodal and extranodal RDD.
Collapse
|
44
|
Chen HH, Zhou SH, Wang SQ, Teng XD, Fan J. Factors associated with recurrence and therapeutic strategies for sinonasal Rosai-Dorfman disease. Head Neck 2011; 34:1504-13. [PMID: 21818818 DOI: 10.1002/hed.21832] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2011] [Revised: 03/31/2011] [Accepted: 04/28/2011] [Indexed: 11/09/2022] Open
Abstract
BACKGROUND The purpose of this study was to explore the factors associated with the recurrence of Rosai-Dorfman disease (RDD) in the nasal cavity and paranasal sinus. METHODS In this study, we conducted a review of the English-language literature published between 1969 and 2010 on the recurrence of and treatment strategies for sinonasal RDD. RESULTS To our knowledge, 126 cases of RDD have been reported to date. Of the 126 patients, 32 (25.4%) had no recurrence or were alive with no evidence of disease; remission occurred in only 1 patient (0.7%); 69 patients (54.8%) had a recurrent, persistent, or progressive course; and 6 patients (4.8%) died from the disease. In patients with recurrent, persistent, and progressive disease, there was no significant tendency for lymph node involvement. CONCLUSION Sinonasal RDD is generally described as benign. However, recurrence and fatal outcome have been reported. Our results suggest that the initial modality may affect the recurrence of RDD.
Collapse
Affiliation(s)
- Hai-Hong Chen
- Department of Otolaryngology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, China
| | | | | | | | | |
Collapse
|
45
|
Triana-Pérez A, Sánchez-Medina Y, Pérez-Del Rosario P, Millán-Corada A, Gómez-Perals L, Domínguez-Báez J. Enfermedad de Rosai-Dorfman intracraneal. Presentación de un caso y revisión de la literatura. Neurocirugia (Astur) 2011. [DOI: 10.1016/s1130-1473(11)70021-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
46
|
Al-Daraji W, Anandan A, Klassen-Fischer M, Auerbach A, Marwaha JS, Fanburg-Smith JC. Soft tissue Rosai-Dorfman disease: 29 new lesions in 18 patients, with detection of polyomavirus antigen in 3 abdominal cases. Ann Diagn Pathol 2010; 14:309-16. [DOI: 10.1016/j.anndiagpath.2010.05.006] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2010] [Accepted: 05/27/2010] [Indexed: 12/12/2022]
|
47
|
Cartin-Ceba R, Golbin JM, Yi ES, Prakash UB, Vassallo R. Intrathoracic manifestations of Rosai–Dorfman disease. Respir Med 2010; 104:1344-9. [DOI: 10.1016/j.rmed.2010.03.024] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/02/2009] [Revised: 02/23/2010] [Accepted: 03/27/2010] [Indexed: 10/19/2022]
|
48
|
Belcadhi M, Bellakhdhar M, Sriha B, Bouzouita K. Rosai-Dorfman disease of the nasal cavities: A CO(2) laser excision. Am J Rhinol Allergy 2010; 24:91-3. [PMID: 20109334 DOI: 10.2500/ajra.2010.24.3387] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
BACKGROUND Rosai-Dorfman disease (RDD) is a rare nonneoplastic histiocytic proliferative disorder characterized by painless massive lymphadenopathy. Extranodal manifestations frequently occur in the head and neck area. METHODS We report the clinical and histological features of nasal cavities and cervical lymph node RDD in a 72-year-old woman, who complained of major nasal obstruction and hyposmia. RESULTS Nasal endoscopy revealed polypoid masses arising from the turbinates; the septum was intact. Immunohistochemical analysis revealed staining for S-100 protein, CD68, and alpha-1 antitrypsin. The presence of the Epstein-Barr virus was revealed by serology and also by in situ hybridization. The general examination and systemic evaluation did not find other extranodal localization. CONCLUSION Because the disease is known for not responding to local or systemic steroids, CO(2) laser excision was used to clear the nasal obstruction with a satisfactory result. This is, to the best of our knowledge, the first description of the use of laser excision for nasal cavities RDD.
Collapse
Affiliation(s)
- Malek Belcadhi
- Department of Ear, Nose, and Throat, Farhat Hached University Hospital, Sousse, Tunisia.
| | | | | | | |
Collapse
|
49
|
Civit T, Colnat-Coulbois S, Marie B. [Histiocytic disorders with orbital involvement]. Neurochirurgie 2010; 56:142-7. [PMID: 20226484 DOI: 10.1016/j.neuchi.2010.02.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2010] [Accepted: 01/13/2010] [Indexed: 10/19/2022]
Abstract
The eosinophilic granuloma of bone is the most common type of histiocytic disorder involving the orbital area. Imaging data typically show bony defects with an intra-orbital soft-tissue extension. Surgical debulking is most often required. Rosai-Dorfman disease is commonly associated with uni- or bilateral orbital locations. The other histiocytic disorders are very rare, but some have a poor prognosis such as Erdheim-Chester disease.
Collapse
Affiliation(s)
- T Civit
- Département de neurochirurgie, hôpital Central, CHU de Nancy, 29, avenue de Lattre-de-Tassigny, 54000 Nancy, France.
| | | | | |
Collapse
|
50
|
Histiocitosis sinusal con linfadenopatía masiva o enfermedad de Rosai-Dorfman. Rev Clin Esp 2009; 209:455-6. [DOI: 10.1016/s0014-2565(09)72523-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|