Clinical analysis of Langerhans cell histiocytosis of head and face.
- Author:
Gang XU
1
;
Bin LIU
;
Gang HE
;
Wei FEI
;
Ke XIE
Author Information
1. Department of Otolaryngology, Sichuan Academy of Medical Sciences, Sichuan Provincial People's Hospital, Chengdu 610072, China. xugoto@yahoo.com.cn
- Publication Type:Journal Article
- MeSH:
Adolescent;
Adult;
Aged;
Child;
Child, Preschool;
Face;
pathology;
Female;
Head;
pathology;
Histiocytosis, Langerhans-Cell;
diagnosis;
pathology;
therapy;
Humans;
Male;
Middle Aged;
Retrospective Studies;
Young Adult
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2013;27(13):704-707
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To study the diagnosis and treatment for Langerhans cell histiocytosis (LCH) of head and face.
METHOD:Clinical data of 19 cases suffering from LCH of head and face verified by pathology was retrospectively analyzed. The clinical presentation, diagnosis and treatment were discussed.
RESULT:Of all the 19 cases, 5 patients had an involvement of the scalp or skull, 5 had the maxilla involvement and 9 temporal bone. Among the 19 patients, type I stage I was 8 cases(all adults), type II stage I 7 cases (all children), type ILL stage II 2 (1 adult, 1 child), stage III 1 and stage IV 1 (both child). Their main clinical manifestations included scalp mass, defect of skull, swelling or mass of facial maxilla and of ear or temporal bone, otorrhea, granuloma of auricular canal, and so on. Fifteen cases were cured by surgical curettage combined with radiotherapy and 4 by surgical curettage combined with chemotherapy. One patient had the sequelae of diabetes insipidus.
CONCLUSION:Diagnosis of LCH should be based on synthetical analyses of clinical manifestations, features of imaging and histopathology. Surgical curettage, radiotherapy and chemotherapy are effective treatment regimens. The prognosis is generally good if the patient gets correct diagnosis and timely rational treatment.
