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Marshall C, Marshall H. Unknown Case: Metastatic Breast Cancer With Abnormal Soft Tissue Mass in the Shoulder. JOURNAL OF BREAST IMAGING 2024:wbae005. [PMID: 38870255 DOI: 10.1093/jbi/wbae005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2023] [Indexed: 06/15/2024]
Affiliation(s)
- Colin Marshall
- Department of Radiology, School of Medicine, Case Western Reserve University, Cleveland, OH, USA
- Department of Radiology, University Hospitals Cleveland Medical Center, Cleveland, OH, USA
| | - Holly Marshall
- Department of Radiology, School of Medicine, Case Western Reserve University, Cleveland, OH, USA
- Department of Radiology, University Hospitals Cleveland Medical Center, Cleveland, OH, USA
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Qi W, Luo Z, Shao M, Chen M, Liao F, Hu L. Case report: A rare case of isolated sigmoid Rosai-Dorfman disease on contrast-enhanced CT and 18F-FDG PET/CT. Front Med (Lausanne) 2024; 11:1425112. [PMID: 38938381 PMCID: PMC11210213 DOI: 10.3389/fmed.2024.1425112] [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: 04/29/2024] [Accepted: 05/29/2024] [Indexed: 06/29/2024] Open
Abstract
Rosai-Dorfman disease (RDD) is an uncommon histiocytic disorder that occurs in nodal and/or extranodal sites. Extranodal RDD exhibits a wide range of clinical and radiological presentations, frequently leading to misdiagnoses. Involvement of the gastrointestinal (GI) system is uncommon, accounting for less than 1% of the reported cases. Here we present a case of a 54-year-old male who complained of abdominal distention and was diagnosed with RDD affecting the sigmoid colon, manifesting as a sigmoid mass. The patient had a past medical history of liver transplantation due to hepatocellular carcinoma (HC). This report details the multiphase contrast-enhanced computed tomography (CT) and fluorodeoxyglucose (18F-FDG) positron emission tomography (PET-CT) imaging findings of RDD involving the sigmoid colon without lymphadenopathy, and a review of the relevant literature is provided.
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Affiliation(s)
- Wanling Qi
- Department of Nuclear Medicine, Jiangxi Provincial People’s Hospital, The First Affiliated Hospital of Nanchang Medical College, Nanchang, China
| | - Zhehuang Luo
- Department of Nuclear Medicine, Jiangxi Provincial People’s Hospital, The First Affiliated Hospital of Nanchang Medical College, Nanchang, China
| | - Mingyan Shao
- Department of Nuclear Medicine, Jiangxi Provincial People’s Hospital, The First Affiliated Hospital of Nanchang Medical College, Nanchang, China
| | - Min Chen
- Department of Pathology, Jiangxi Provincial People’s Hospital, The First Affiliated Hospital of Nanchang Medical College, Nanchang, China
| | - Fengxiang Liao
- Department of Nuclear Medicine, Jiangxi Provincial People’s Hospital, The First Affiliated Hospital of Nanchang Medical College, Nanchang, China
| | - Linfeng Hu
- Department of Pediatrics, Jiangxi Provincial People’s Hospital, The First Affiliated Hospital of Nanchang Medical College, Nanchang, China
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Lin Y, Wang F, Xu Q, Tian J. A case of intracranial and extracranial multiple Rosai-Dorfman diseases. Asian J Surg 2024; 47:2506-2507. [PMID: 38307795 DOI: 10.1016/j.asjsur.2024.01.083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2023] [Accepted: 01/19/2024] [Indexed: 02/04/2024] Open
Affiliation(s)
- Yuxin Lin
- Department of Radiology, the Second Hospital of Dalian Medical University, 467 Zhong Shan Road, Dalian 116023, People's Republic of China
| | - Fei Wang
- Department of Radiology, the Second Hospital of Dalian Medical University, 467 Zhong Shan Road, Dalian 116023, People's Republic of China
| | - Qiushi Xu
- Department of Neurosurgery, Central Hospital of Dalian University of Technology, 826 Southwest Road, Dalian 116083, People's Republic of China.
| | - Juan Tian
- Department of Radiology, the Second Hospital of Dalian Medical University, 467 Zhong Shan Road, Dalian 116023, People's Republic of China.
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Zhang W, Fang L, Wang J, Ma X, Hu X, Liu W. Mediastinal Rosai-Dorfman Disease with KRAS mutation case report and literature review. J Cardiothorac Surg 2024; 19:166. [PMID: 38561747 PMCID: PMC10985954 DOI: 10.1186/s13019-024-02668-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2023] [Accepted: 03/20/2024] [Indexed: 04/04/2024] Open
Abstract
BACKGROUND Rosai-Dorfman Disease (RDD) is a rare self-limiting histiocytosis, more prevalent in children and young adults. It typically manifests as painless bilateral massive cervical lymphadenopathy but may also extend to extra-nodal sites, with intrathoracic RDD noted in 2% of cases. Distinguishing mediastinal RDD from thymoma on imaging poses challenges, underscoring the reliance on pathological features and immunohistochemical staining for diagnosis. CASE PRESENTATION Patient, male, 33 years old, underwent lung a CT revealing an enlarged round soft tissue shadow in the anterior superior mediastinum, compared to a year ago. Surgical resection removed the entire mass, thymus, and part of the pericardium, confirming RDD on pathology. Genetic testing using second-generation testing technology identified a KRAS gene point mutation. CONCLUSIONS No established treatment protocol currently exists for this disease. However, as genetic mutation research progresses, a novel therapeutic avenue is emerging: targeted therapy integrated with surgical interventions.
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Affiliation(s)
- Wenyu Zhang
- Department of Thoracic Surgery, the First Hospital of Jilin University, Changchun, Jilin, China
| | - Linan Fang
- Department of Thoracic Surgery, the First Hospital of Jilin University, Changchun, Jilin, China
| | - Jing Wang
- Department of Radiology, the First Hospital of Jilin University, Changchun, Jilin, China
| | - Xiaobo Ma
- Department of Pathology, the First Hospital of Jilin University, Changchun, Jilin, China
| | - Xintong Hu
- Genetic Diagnosis Center, the First Hospital of Jilin University, Changchun, Jilin, China
| | - Wei Liu
- Department of Thoracic Surgery, the First Hospital of Jilin University, Changchun, Jilin, China.
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Agarwal A, Ravindran A, Donahue J, Eltoum IE, Abozeed M. Extranodal Rosai-Dorfman Disease: a rare presentation involving anterior chest wall in a middle-aged female. Skeletal Radiol 2024; 53:589-594. [PMID: 37603054 DOI: 10.1007/s00256-023-04427-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/21/2023] [Revised: 07/27/2023] [Accepted: 08/06/2023] [Indexed: 08/22/2023]
Abstract
Rosai-Dorfman Disease is a rare benign disorder involving overproduction of immune cells, causing swollen lymph nodes and, in rare cases, the sternum. The sternal involvement may cause chest pain and masses. Diagnosis is confirmed through clinical examination, biopsy, and imaging. Treatment options may include surgery, radiation, or steroids. In this case study, we present an unusual example of extranodal Rosai-Dorfman Disease involving the sternum, bilateral clavicles and first three ribs, and pectoral muscle with no associated lymphadenopathy or systemic symptoms in a 57-year-old female. The etiology, pathology, immunohistochemistry, imaging findings, and treatment options of this unique disease are discussed.
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Affiliation(s)
| | - Aishwarya Ravindran
- Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
- Clinical Pathology Department, University of Alabama at Birmingham (UAB), Birmingham, AL, USA
| | - James Donahue
- Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
- Thoracic Surgery Department, University of Alabama at Birmingham (UAB), Birmingham, AL, USA
| | - Isam-Eldin Eltoum
- Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
- Clinical Pathology Department, University of Alabama at Birmingham (UAB), Birmingham, AL, USA
| | - Mostafa Abozeed
- Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
- Radiology Department, University of Alabama at Birmingham (UAB), Birmingham, AL, USA.
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Zheng J, Wang J, Chen W, Fan W, Xu J. Intracranial Rosai-Dorfman disease: a case report and review of the literature. Neurol Sci 2023; 44:3675-3678. [PMID: 37566197 DOI: 10.1007/s10072-023-06986-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2023] [Accepted: 07/22/2023] [Indexed: 08/12/2023]
Abstract
RDD involving the central nervous system is rarely reported. To better understand the disease and explore the treatments, we reported this case and review the literature.
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Affiliation(s)
- Jia Zheng
- Department of Neurosurgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China
| | - Jihu Wang
- Department of Neurosurgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China
| | - Weiqiang Chen
- Department of Neurosurgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China
| | - Wenyong Fan
- Department of Neurosurgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China
| | - Jiajun Xu
- Department of Neurosurgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China.
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Njoum Y, Abu-Hilal LH, Jabbarin F, Bannoura S, Mtour S, Itmaizeh M. Rosai-Dorfman disease presenting as autoimmune hemolytic anemia in a male child in Palestine: a case report. Oxf Med Case Reports 2023; 2023:omad078. [PMID: 37484548 PMCID: PMC10359060 DOI: 10.1093/omcr/omad078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2023] [Revised: 06/19/2023] [Accepted: 06/22/2023] [Indexed: 07/25/2023] Open
Abstract
Rosai-Dorfman disease (RDD) is a rare, benign non-Langerhans cell histiocytosis predominantly affects lymph nodes and skin. Despite its benign nature, RDD can cause serious hematological complications. A 14-year-old male, presented with 3-month history of hemolytic anemia, lymphadenopathy, hepatosplenomegaly and rash. After thorough investigation, RDD was diagnosed by mediastinal lymph node biopsy that revealed presence of S100 and CD68-positive cells with absence of CD1a confirming the diagnosis of RDD. Treatment involved combination of steroids and Rituximab, which proved to be highly effective. The patient had dramatic improvement and entered remission, with follow-up period of 2 years. It is important to note that although RDD is a rare disease, it causes severe complications, as evidenced by the patient's parameters. Thus, prompt diagnosis and treatment are paramount. Histological diagnosis is of great value, as it helps confirming and guiding treatment decisions. With the right treatment, patients can experience great recovery and quality of life.
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Affiliation(s)
- Yumna Njoum
- Correspondence address. Faculty of Medicine, Al-Quds University, West Bank, PO: P583, Palestine. Tel: +972592130424; E-mail:
| | | | - Farah Jabbarin
- Department of Cardiology, Al-Makassed Hospital, Jerusalem, Palestine
| | - Sami Bannoura
- Department of Pathology, Al-Makassed Hospital, Jerusalem, Palestine
| | - Sameer Mtour
- Department of Cardiology, Al-Makassed Hospital, Jerusalem, Palestine
| | - Muaath Itmaizeh
- Department of Rheumatology, Al-Makassed Hospital, Jerusalem, Palestine
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