J Korean Soc Radiol.  2012 Jul;67(1):49-52.

Extranodal Rosai-Dorfman Disease in Multiple Sites: A Case Report

Affiliations
  • 1Department of Radiology, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea. kyhkim7@paran.com
  • 2Department of Surgery, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea.
  • 3Department of Pathology, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea.

Abstract

Rosai-Dorfman disease involves an abnormal proliferation of histiocytes. This abnormal growth tends to occur within the lymph nodes, with occasional extranodal presentation. Rosai-Dorfman disease is a rare disease, and the extranodal cases are even more uncommon. We report a rare case of extranodal Rosai-Dorfman disease in multiple sites in a 56-year-old male patient. Abdominopelvic CT revealed soft tissue attenuation masses, encasing both the renal pelvis and both ureters, as well as the thoracic vertebra. Following the neck sonography, both submandibular glands had an enlarged honey combed appearance. Although Rosai-Dorfman disease is rare, it should be considered as a potential differential diagnosis when multiple sites involving soft tissue attenuation masses are observed with sonogram and CT.


MeSH Terms

Diagnosis, Differential
Histiocytes
Histiocytosis, Sinus
Honey
Humans
Kidney
Kidney Pelvis
Lymph Nodes
Male
Middle Aged
Neck
Rare Diseases
Spine
Submandibular Gland
Ureter

Reference

1. Rosai J, Dorfman RF. Sinus histiocytosis with massive lymphadenopathy. A newly recognized benign clinicopathological entity. Arch Pathol. 1969. 87:63–70.
2. Foucar E, Rosai J, Dorfman R. Sinus histiocytosis with massive lymphadenopathy (Rosai-Dorfman disease): review of the entity. Semin Diagn Pathol. 1990. 7:19–73.
3. Rosai J, Dorfman RF. Sinus histiocytosis with massive lymphadenopathy: a pseudolymphomatous benign disorder. Analysis of 34 cases. Cancer. 1972. 30:1174–1188.
4. Wright DH, Richards DB. Sinus histiocytosis with massive lymphadenopathy (Rosai-Dorfman disease): report of a case with widespread nodal and extra nodal dissemination. Histopathology. 1981. 5:697–709.
5. Yousem DM, Kraut MA, Chalian AA. Major salivary gland imaging. Radiology. 2000. 216:19–29.
6. McClain KL, Natkunam Y, Swerdlow SH. Atypical cellular disorders. Hematology Am Soc Hematol Educ Program. 2004. 283–296.
7. Sodhi KS, Suri S, Nijhawan R, Kang M, Gautam V. Rosai-Dorfman disease: unusual cause of diffuse and massive retroperitoneal lymphadenopathy. Br J Radiol. 2005. 78:845–847.
8. Raslan OA, Schellingerhout D, Fuller GN, Ketonen LM. Rosai-Dorfman disease in neuroradiology: imaging findings in a series of 10 patients. AJR Am J Roentgenol. 2011. 196:W187–W193.
9. Zivin SP, Atieh M, Mosier M, Paner GP, Aranha GV. Rosai-Dorfman disease (sinus histiocytosis with massive lymphadenopathy) of the pancreas: second case report. J Gastrointest Surg. 2009. 13:806–809.
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