• 제목/요약/키워드: 조직구증

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Pulmonary Langerhans Cell Histiocytosis Accompanied by Active Pulmonary Tuberculosis (활동성 폐결핵과 동반된 폐 랑거한스 세포 조직구증 - 1예 보고 -)

  • Song, Dong-Seop
    • Journal of Chest Surgery
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    • v.41 no.1
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    • pp.137-140
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    • 2008
  • Puimonary Langerhans cell histiocytosis is very rare, especially when accompanied by active pulmonary. tuberculosis. A patient was hospitalized due to excessive dyspnea and she was diagnosed with active pulmonary tuberculosis by a sputum AFB smear. The HRCT taken after hospitalization showed multiple micronodules and tiny cysts. An open lung biopsy confirmed the coexistence of pulmonary Langerhans cell histiocytosis.

Langerhans Cell Histiocytosis of Thyroid Gland : A Case Report (갑상선에 생긴 랑게르한스 세포 조직구증 1예)

  • Jang, Chul Soon;Yeon, Je Yeob;Park, Soo Kyoung;Lee, Dong Wook
    • Korean Journal of Head & Neck Oncology
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    • v.29 no.1
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    • pp.18-21
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    • 2013
  • 랑게르한스 세포 조직구증은 골수에서 유래하는 랑게르한스 세포 조직구의 이상 증식에 의해 발병하는 희귀한 질병으로 알려져 있다. 비록 모든 장기에서 발생 할 수 있으나 갑상선을 침범하는 경우는 매우 드물다. 18세 남자가 5달전부터 점점 커지는 갑상선 종괴를 주소로 내원하여 세침흡인 세포검사, 총샘검, 경부 전산화단층촬영을 시행하였다. 세침흡인 세포검사에서 악성신생물이 의심되었고, 총생검에서 랑게르한스 세포 조직구증으로 나타났다. 경부 전산화단층촬영에서는 우측 갑상선에서 윤곽이 잘 구분되는 저음영의 종괴와 우측 기관 주위 림프절의 종대가 관찰되었다. 갑상선 전절제술과 우측 중앙 선택적 경부 림프절 청소술이 시행되었다. 랑게르한스 세포 조직구증이 갑상선을 침범하는 경우는 드물지만 갑상선 비대가 있는 환자가 뇌하수체 기능부전의 증상이나 뼈와 폐의 침범과 관련된 증상을 호소한다면 갑상선의 랑게르한스 세포 조직구증 침범을 고려해야 한다. 또한, 다른 장기의 랑게르한스 세포 조직구증을 치료한 과거력이 있는 경우는 갑상선 종괴를 감별 진단하는데 있어 랑게르한스 세포 조직구증을 고려해야 한다.

Adult Onset of Langerhans Cell Histiocytosis in the Rib - Report of 2 cases - (성인 늑골에 발생한 Langerhans 세포 조직구증 - 2예 보고 -)

  • 김성완;김덕실;배종엽;변경환;김병기
    • Journal of Chest Surgery
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    • v.36 no.7
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    • pp.539-543
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    • 2003
  • Langerhans cell histiocytosis (LCH), previously called histiocytosis X, refers to a spectrum of disease characterized by idiopathic proliferation of histiocytes producing focal or systemic manifestations. Causes and pathogenesis remain unclear The basic histopatholgic fndings are identical in the three well-established clinical syndromes (eosinophilic granuloma, Hand-Shuller-Christian disease, Letterer-Siwe disease). The disease has a predilection for children, although it may occur in adults. We experienced two cases of adult onset Langerhans cell histiocytosis in the ribs. One case was associated with diabetes insipidus and the other case had a solitary lesion.

A Case of Langerhans Cell Histiocytosis Mimicking Periorbital Cellulitis (안와 주위 봉와직염을 동반한 랑게르한스 세포 조직구증 1례)

  • Yoo, Ha Yeon;Kim, Ki Hwan;Choi, Jun Jeong;Kim, Dong Soo
    • Pediatric Infection and Vaccine
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    • v.16 no.2
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    • pp.220-223
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    • 2009
  • Langerhans cell histiocytosis is a rare disease in children. However, Langerhans cell histiocytosis encompasses a wide spectrum of clinical presentations and mimics other conditions. A 1-year-old boy presented with signs of periorbital cellulitis that initially responded to antibiotics, but remained as a same-sized mass with serial orbital computed tomography. The lesion was partially excised. Histopathology and immunohistochemical staining confirmed the diagnosis of Langerhans cell histiocytosis. This case demonstrates that in patients with periorbital cellulitis which has relapsed or responded inadequately to antibiotics, further investigation should initiated to rule out other inflammatory causes.

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A Case of Pulmonary Langerhans Cell Histiocytosis associated with Central Diabetes Insipidus in Adult -A case report - (성인에서 발견된 중추성 요붕증이 합병된 폐 랑게르한스 세포 조직구증 -1예 보고-)

  • Yoo Byung Su;Lee Jae Woong;Jo Tae Jun;Hong Ki Woo;Kim Kun Il;Lee Weon Yong;Kim Dong Gyu;Jun Sun Young
    • Journal of Chest Surgery
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    • v.38 no.12 s.257
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    • pp.866-869
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    • 2005
  • Langerhans Cell Histiocytosis (LCH) is a pathologic proliferation and infiltration of various organs by Langerhans' cells of unknown cause. Incidence rate of one million parties 3$\∼$4 is seen in young child but the incidence is not sure in adult. Organ systems involved by LCH may include skin, ear, bone marrow, liver, spleen, lung, pituitary gland - hypothalamus and Gl tracts. In case pituitary-hypothalamus axis are involved, diabetes insipidus happened. Primary Pulmonary Langerhans Cell Histiocytosis(PLCH) with uninvolvement of other organs is rare and accompanied diabetes insipidus is more rare. There are many cases of LCH with diabetes insipidus involve such as central nervous system except lung. PLCH accompany central diabetes insipidus is only 1 case. We report a case of PLCH that accompany central diabetes insipidus with literature investigation in Department of Thoracic and Cardiovascular Surgery, Hallym University.

Surgical Treatment of Langerhans Cell Histiocytosis in the Rib - Two cases report - (늑골에 생긴 랑거한스세포 조직구증식증의 외과적 치료-치험 2예-)

  • Kang Do-kyun;Park Jae-min;Han Il-Yong;Jun Hee-jae;Yoon Young-chul;Hwang Yun-ho;Cho Kwang-hyun;Lee Yang-haeng
    • Journal of Chest Surgery
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    • v.38 no.11 s.256
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    • pp.799-802
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    • 2005
  • Langerhans cell histiocytosis (LCH) involves disorders previously referred as 'histiocytosis X' (including eosinophilic granuloma, Letterer-Siwe, and Hand-Schuller syndrome). Its clinical patterns are various and it is a basically benign tumoral condition but with a strong tendency toward dissemination and destruction. Its natural history is unpredictable. But, in solitary bone lesion, wide resection with tumor-free margin is required in order to provide the best chance for a cure. In the majority of patients LCH is a osteolytic lesion with a predilection for calvarium and is rarely seen in the skull base and the femur. LCM of rib, especially if solitary, is relatively rare. We report two rare cases of solitary LCH developed in the rib, which were successfully treated by surgical resection.

Single System Langerhans' Cell Histiocytosis with Multifocal Bone Lesions and Pathologic Fracture: A Case Report (다발성 골 침습과 병적 골절을 동반한 단일조직 랑게르한스 세포 조직구증: 증례 보고)

  • Hur, Jae-Seung;Kim, Hong-Sik;Park, Yong-Wook;Pyo, Ju-Yeon;Lee, Young-Ho;Park, Ye-Soo
    • The Journal of the Korean bone and joint tumor society
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    • v.19 no.2
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    • pp.78-82
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    • 2013
  • Langerhans cell histiocytosis is known as one of the diseases related to excessive proliferation of normal monocytes and has the variety of clinical courses and treatment. Especially, in cases with the spine, it shows a feature of single or multiple osteolysis. According to the location, disease progression and concomitant symptom, variety of treatments (observation, radiotherapy, chemotherapy, surgery, etc.) have been attempted, however, appropriate treatment has not been established yet. The authors introduce the case of single system Langerhans cell histiocytosis which involves cervical and lumbar vertebrae simultaneously with bone marrow destruction and pathologic fracture.

Langerhans Cell Histiocytosis in the Nasal Bone: A Rare Case (코뼈에 발생한 랑게르한스 세포 조직구증: 증례 보고)

  • Won Ik Ahn;Jong Chang Jang;Dong Jin Yang;Tae Eun Kim;Hyou Chun Park;Dong Kyu Lee;Jae Min Seong
    • Journal of the Korean Society of Radiology
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    • v.84 no.2
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    • pp.472-476
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    • 2023
  • Nasal bone involvement of Langerhans cell histiocytosis is rarely reported. Here we present a case of a 13-year-old boy with a palpable nasal mass. Ultrasonography revealed a hypoechoic mass on the left side of the nose. Both CT scanning and MRI showed an osteolytic mass. The lesion seen on MRI was well-defined mass with homogeneous enhancement. Histopathological examination of the resected specimen confirmed the diagnosis of LCH.

Langerhans Cell Histiocytosis of the Clavicle in a 50-Year-Old Male: A Case Report (50세 남자에게서 발견된 쇄골의 랑게르한스 세포 조직구증: 증례 보고)

  • Changhyun Park;Yong Hoon Kim;Soon Joo Cha;Ji-Ye Kim
    • Journal of the Korean Society of Radiology
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    • v.82 no.4
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    • pp.936-942
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    • 2021
  • Langerhans cell histiocytosis (LCH) is a rare condition that usually occurs in children and commonly affects the skeletal system. It is extremely rare in adults, especially in the clavicles. In this report, we describe a pathologically confirmed case of LCH in the clavicle of a 50-year-old male. We report various radiological findings, such as plain radiography, CT, MR, and PET-CT, along with a review of the literature.

Intra-articular Benign Fibrous Histiocytoma of the Knee: A Case Report (슬관절 관절내 발생한 양성 섬유성 조직구종: 증례 보고)

  • Hong, Ki-Do;Ha, Sung-Sik;Sim, Jae-Cheon;Kim, Tae-Ho;Lee, Jong-Seong;Sung, Min-Chul
    • The Journal of the Korean bone and joint tumor society
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    • v.18 no.2
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    • pp.94-98
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    • 2012
  • Benign fibrous hitiocytoma of the infrapatella fat pad is very rare. It has usually do not induced a pain or a symptom because it was located deep tissue. So it was very difficult to be diagnosed. We experienced a case of deep benign fibrous histiocytoma in a 53-year-old woman. It was diagnosed by MRI. Diagnostic arthroscopic procedure was performed and the lesion was completely resected by open excision. We report a rare case of benign fibrous hitiocytoma presenting as an intra-articular tumor in the joint causing pain and limitation of movement.