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KMID : 1033720160170010031
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Archives of Craniofacial Surgery
2016 Volume.17 No. 1 p.31 ~ p.34
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Cutaneous Rosai-Dorfman Disease Confused with Vascular Mas
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:Kang Kwang-Rae
:Jung Sung-Won/:Koh Sung-Hoon
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Abstract
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Rosai-Dorfman disease is a rare histiocytic disorder, clinically characterized by massive, bilateral painless cervical lymphadenopathy with potential for extranodal manifestations. We report a 45-year-old male patient who presented with a slowly growing erythematous nodule of the left chin. The mass appeared non-vascular on computed tomography study, but ultrasonogram was suggestive of a vascular lesion. The lesion was excised with presumptive diagnosis of a hemangioma. However, histopathologic examination of the surgical biopsy revealed histiocytic infiltration with emperipolesis, which was pathognomic for Rosai-Dorfman disease. Additional imaging studies did not reveal lymph node enlargement or other extranodal manifestation. The patient was diagnosed with cutaneous form of the Rosai-Dorfman disease and was discharged home. He remains free of local recurrence at 8 months.
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KEYWORD
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Rosai-Dorfman disease, Hemangioma, Computed tomography, Ultrasonography
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