ABSTRACT
Rosai-Dorfman disease is a systemic disease and its etiology is not well understood. It is very rare but established disease. We report a case of Rosai-Dorfman disease occurring in the neck and subglottis. A 18-year-old female had visited with a complaint of bilateral neck mass. Subglottic mass was also detected by flexible laryngoscopy. Lymph node excision and laryngeal microsurgery were performed. The histopathologic findings demonstrated proliferative large histiocytes with clear cytoplasm and rounded nuclei, and lymphagocytosis (emperiopolesis), which were the features of Rosai-Dorfman disease. Rosai-Dorfman disease has various clinical courses. Definitive diagnosis is needed for the appropriate management.
Subject(s)
Adolescent , Female , Humans , Cytoplasm , Diagnosis , Histiocytes , Histiocytosis, Sinus , Laryngoscopy , Larynx , Lymph Node Excision , Lymph Nodes , Microsurgery , NeckABSTRACT
Frontal sinusitis can lead to severe and life-threatening disorders. Complications may involve intracranial structures, orbit and adjacent bone and soft tissue structures. Bone wax has been used since the turn of the century as a mechanical aid to hemostasis following surgical procedures. That it may produce a foreign body giant cell reaction in significant proportion of cases is well known. We experienced a woman who had recurrent frontal sinusitis due to bone wax. She was treated by endoscopic frontal sinusotomy with foreign body removal.