Langerhans cell histiocytosis as differential diagnosis of a mediastinal tumor

Fahrner, René; Hoksch, Beatrix; Gugger, Mathias; Schmid, Ralph Alexander (2008). Langerhans cell histiocytosis as differential diagnosis of a mediastinal tumor. European journal of cardio-thoracic surgery, 33(3), pp. 516-7. Oxford: Elsevier Science B.V. 10.1016/j.ejcts.2007.12.026

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We describe the case of a 55-year-old man who presented with parasternal swelling. The chest CT scan showed a large tumor of the chest wall infiltrating the subcutaneous tissue. To assume histologic diagnosis an open biopsy was performed. Between the myofibrils a coarse, white tumor with infiltrative growth was noted. Histopathologic examination revealed expanded atrophic skeletal muscle that was infiltrated by histiocytic cells. Numerous eosinophilic granulocytes and lymphocytes CD20 and CD3 positive could be detected and immunohistochemical staining was also positive for S-100 proteins and CD1a. Histologic findings were characteristic of Langerhans cell histiocytosis (LCH). To the best of our knowledge a LCH originating from the mediastinum in an adult as presented has not been previously described.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Thoracic Surgery
04 Faculty of Medicine > Service Sector > Institute of Pathology

UniBE Contributor:

Hoksch, Beatrix; Gugger, Mathias and Schmid, Ralph

ISSN:

1010-7940

ISBN:

18243003

Publisher:

Elsevier Science B.V.

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 15:02

Last Modified:

27 Apr 2018 09:17

Publisher DOI:

10.1016/j.ejcts.2007.12.026

PubMed ID:

18243003

Web of Science ID:

000254375900034

BORIS DOI:

10.7892/boris.27143

URI:

https://boris.unibe.ch/id/eprint/27143 (FactScience: 104462)

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