Sinus histiocytosis is a common nonspecific finding in lymph node biopsy specimens. It may be accompanied by follicular or interfollicular hyperplasia. It may also be seen in lymph nodes draining sites of inflammation or tumors, especially breast and gastrointestinal carcinomas.

What causes sinus histiocytosis?

The exact cause of histiocytosis is unknown. However, recent studies indicate that it is caused by the development and expansion of an abnormal Langerhans cell that subsequently leads to the accumulation of other cells of the immune system, resulting in collections or tumors in various areas of the body.

What does Histiocytic mean?

Histiocytosis is a general name for a group of disorders or syndromes that involve an abnormal increase in the number of specialized white blood cells that are called histiocytes.

What is Histiocytic reaction?

A group of rare disorders in which too many histiocytes (a type of white blood cell) build up in certain tissues and organs, including the skin, bones, spleen, liver, lungs, and lymph nodes. This can cause damage to tissue or tumors to form in one or more parts of the body.

What is Rosai Dorfman syndrome?

General Discussion. Rosai-Dorfman disease is a rare disorder characterized by overproduction (proliferation) and accumulation of a specific type of white blood cell (histiocyte) in the lymph nodes of the body (lymphadenopathy), most often those of the neck (cervical lymphadenopathy).

What do lymph nodes react to?

When something goes wrong in the body, the lymphatic system produces cells to fight bacteria, viruses, and other causes of illness. Lymph nodes swell in this process. Lymph nodes may also swell in response to an injury as they work to prevent or stop an infection. Sometimes, lymph nodes can swell because of cancer.

Is sinus histiocytosis cancerous?

Sinus histiocytosis is often associated with malignant tumor. It is considered as a sign of the host’s immune activation with favorable prognostic significance. Nevertheless, such lymphadenopathy mimics a metastatic lymph node, making proper staging difficult.

Is histiocytosis curable?

Usually a cure is linked to being in remission for a certain period of time. There is no established period of “non-active” disease before LCH is considered cured, but the chance for recurrence is low after five years from end of treatment.

Is histiocytosis an autoimmune disease?

Langerhans cell histiocytosis historically was thought of as a cancer-like condition, but more recently researchers have begun to consider it an autoimmune phenomenon in which immune cells begin to overproduce and attack the body instead of fighting infection.

Is histiocytosis fatal?

Langerhans cell histiocytosis can cause damage to tissues and organs all over the body if it’s not treated. One example is pulmonary histiocytosis. This condition damages the lungs. Damage to the body can be so severe that the condition becomes fatal.

What does a Histiocyte look like?

In smears, the typical histiocyte is easily identified by its size, eccentric round or bean-shaped nucleus, and lightly stained lacy cytoplasm (Fig. 19.43). Because histiocytes are phagocytic, their cytoplasm may contain leukocytes, nuclear particles (Fig.

How is histiocytosis diagnosed?

Radiology Scans CT scans can identify areas of histiocytosis. They can be used to look at any part of the body, but CT is most helpful for detecting histiocytosis in the lungs, heart, kidneys, lymph nodes, and other organs. MRI scans can get a very detailed picture of certain organs.

What is malignant histiocytosis?

Malignant histiocytosis is a rare invasive proliferation of neoplastic histiocytes. Cases previously reported as malignant histiocytosis were shown to be lymphomas of T or B lineage, especially anaplastic large‐cell lymphomas.

What is histiocytic inflammation?

Histiocytoses are disorders characterised by inflammation and the accumulation of cells derived from the monocyte and macrophage lineages, which results in tissue damage.

What is histiocytic infiltration?

Histiocytic disorders (HDs) are a diverse group of diseases characterized by pathologic infiltration of normal tissues by cells of the mononuclear phagocyte system. The spectrum of these diseases ranges from treatable infectious diseases to rapidly progressive, life-threatening conditions.

Is Rosai-Dorfman disease fatal?

Rosai-Dorfman disease is a self-limited and seldom life-threatening disease which commonly does not require therapy.

What Is Kikuchi Fujimoto disease?

Kikuchi-Fujimoto disease (KFD) is a benign and self-limited disorder, characterized by regional cervical lymphadenopathy with tenderness, usually accompanied with mild fever and night sweats. Less frequent symptoms include weight loss, nausea, vomiting, sore throat.

What is Langerhans Cell Histiocytosis?

Langerhans cell histiocytosis is a rare disorder that can damage tissue or cause lesions to form in one or more places in the body. Langerhans cell histiocytosis (LCH) is a rare disease that begins in LCH cells. LCH cells are a type of dendritic cell that normally helps the body fight infection.

What are the signs that you have a cancerous lymph node?

What Are Signs and Symptoms of Cancerous Lymph Nodes?

When should you worry about a swollen lymph node?

When to see a doctor See your doctor if you’re concerned or if your swollen lymph nodes: Have appeared for no apparent reason. Continue to enlarge or have been present for two to four weeks. Feel hard or rubbery, or don’t move when you push on them.

Can enlarged lymph nodes be benign?

Swollen lymph nodes are a sign that your immune system is fighting off infection or illness. Swollen lymph nodes are more likely to be benign than malignant. Benign means the lymph nodes don’t contain cancer cells. Malignant means they do contain cancer cells.

What is Paracortical hyperplasia?

Paracortical hyperplasia is the preferential stimulation of the T cell compartment. It is caused by an abnormal expansion of the interfollicular zones but is confined within the lymph node capsule. The population of the compartment is cytologically polymorphous.

What is Dermatopathic lymphadenopathy?

Dermatopathic lymphadenopathy is a distinctive reaction pattern in lymph nodes characterized by paracortical hyperplasia composed of interdigitating dendritic cells (IDC), Langerhans cells (LC), macrophages containing melanin pigment, and small T-cells.

What is reactive lymphadenitis?

Reactive lymphadenopathy is when lymph glands respond to infection by becoming swollen. It often happens in children as their immunity is still developing. Lymph glands or nodes are small nodules which help the body fight infection and they tend to become bigger when they are active.

Is LCH a leukemia?

We report two new cases of acute leukemia in children with LCH. The first child had acute lymphoblastic leukemia after untreated LCH; the second developed acute promyelocytic leukemia after LCH treated with vinblastine and etoposide.

Does LCH go away on its own?

LCH symptoms can range from mild to more serious. Some people are born with it, and the disease eventually goes away on its own. But others have a severe and long-lasting type that affects multiple parts of the body.

Can LCH be benign?

Langerhans Cell Histiocytosis (LCH) is a benign osteolytic tumor-like bone lesion that is commonly manifested in the skeletal system in either a unifocal or multifocal form10 , 11; it is the most common of the non-infectious granulomatous bone disorders12 , 13.