Robert M, Marty-Double C
Laboratoire d'Anatomie Pathologique, Hôpital Gaston Doumergue, Nîmes.
Arch Anat Cytol Pathol. 1996;44(5-6):237-40.
The authors report two cases of isolated lymph node involvement by Langerhans' cell histiocytosis which affected two young children. The histologic aspect reveals that lymph nodes have been modified by a proliferation of large histiocyte-like cells, associated with eosinophils. An immunohistochemical study on paraffin sections and for one case on frozen sections, reveals the usual phenotype of Langerhans' cells: these cells stain positively with S 100 protein and CD1 and are negative for both lysozyme and al antichymotrypsine. After a period of two years for one child and four years for the other, these children are in total remission, one spontaneously, the other after chemotherapy.
作者报告了两例朗格汉斯细胞组织细胞增多症仅累及淋巴结的病例,两名患儿均受此病影响。组织学表现显示,淋巴结已被大量组织细胞样细胞增生改变,伴有嗜酸性粒细胞。对石蜡切片进行的免疫组织化学研究以及对其中一例进行的冰冻切片免疫组织化学研究,揭示了朗格汉斯细胞的典型表型:这些细胞对S100蛋白和CD1呈阳性染色,而对溶菌酶和α抗胰凝乳蛋白酶均呈阴性。一名患儿两年后、另一名患儿四年后完全缓解,一名是自发缓解,另一名是化疗后缓解。