Cutaneous Rosai-Dorfman Disease Confused with Vascular Mass.
10.7181/acfs.2016.17.1.31
- Author:
Kwang Rae KANG
1
;
Sung Won JUNG
;
Sung Hoon KOH
Author Information
1. Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Hallym University Medical Center, Anyang, Korea. hallymjsw@gmail.com
- Publication Type:Case Report
- Keywords:
Rosai-Dorfman disease;
Hemangioma;
Computed tomography;
Ultrasonography
- MeSH:
Biopsy;
Chin;
Diagnosis;
Emperipolesis;
Hemangioma;
Histiocytosis, Sinus*;
Humans;
Lymph Nodes;
Lymphatic Diseases;
Male;
Middle Aged;
Recurrence;
Ultrasonography
- From:Archives of Craniofacial Surgery
2016;17(1):31-34
- CountryRepublic of Korea
- Language:English
-
Abstract:
Rosai-Dorfman disease is a rare histiocytic disorder, clinically characterized by massive, bilateral painless cervical lymphadenopathy with potential for extranodal manifestations. We report a 45-year-old male patient who presented with a slowly growing erythematous nodule of the left chin. The mass appeared non-vascular on computed tomography study, but ultrasonogram was suggestive of a vascular lesion. The lesion was excised with presumptive diagnosis of a hemangioma. However, histopathologic examination of the surgical biopsy revealed histiocytic infiltration with emperipolesis, which was pathognomic for Rosai-Dorfman disease. Additional imaging studies did not reveal lymph node enlargement or other extranodal manifestation. The patient was diagnosed with cutaneous form of the Rosai-Dorfman disease and was discharged home. He remains free of local recurrence at 8 months.
