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[结外Rosai-Dorfman病]

[Extranodal Rosai-Dorfman disease].

作者信息

Gan Mei-fu, Zhou Tao, Yu Xin-ru, Yu Chun-kai, Zheng Hai-hong, Cai Ju-fang

机构信息

Department of pathology, Taizhou Hospital of Zhejiang Province, Linhai 317000, China.

出版信息

Zhonghua Bing Li Xue Za Zhi. 2005 Mar;34(3):137-9.

Abstract

OBJECTIVE

To investigate the diagnosis and differential diagnosis of extranodal Rosai-Dorfman disease.

METHODS

Two cases of extranodal Rosai-Dorfman disease were studied using hematoxylin-eosin, and immunohistochemical staining, along with a literature review.

RESULTS

The lesions of RDD were characterized by the presence of large histiocytes with emperipolesis, accompanied by infiltration of lymphocytes, plasma cells and other inflammatory cells. The large histiocytes had an abundant cytoplasm, pale to eosinophilic in appearance, positive for S-100 protein staining, with a vesicular nucleus and a small basophilic nucleolus in each cell.

CONCLUSIONS

Extranodal Rosai-Dorfman disease is known as an idiopathic proliferative disease of histiocytes with a distinct morphologic feature and is very rare. Differential diagnosis from other types of fibrohistiocytic proliferation lesions is recommended.

摘要

目的

探讨结外Rosai-Dorfman病的诊断及鉴别诊断。

方法

对2例结外Rosai-Dorfman病进行苏木精-伊红染色及免疫组化染色,并结合文献复习。

结果

Rosai-Dorfman病的病变特点为存在含吞噬现象的大组织细胞,伴有淋巴细胞、浆细胞及其他炎症细胞浸润。大组织细胞胞质丰富,淡染至嗜酸性,S-100蛋白染色阳性,每个细胞有泡状核及小的嗜碱性核仁。

结论

结外Rosai-Dorfman病是一种具有独特形态学特征的特发性组织细胞增生性疾病,非常罕见。建议与其他类型的纤维组织细胞增生性病变进行鉴别诊断。

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