Solitary Spindle Cell Xanthogranuloma in a Child / 대한피부과학회지

ABSTRACT

Non-Langerhans cell histiocytoses are classified according to the predominant mononuclear (vacuolated, spindle-shaped, xanthomatized, scalloped, and oncocytic) and/or multinucleate (Touton, ground-glass appearance, Langhans, and foreign body) histiocytic cell types. Spindle-shaped histiocytes are evident in spindle cell xanthogranuloma and progressive nodular histiocytosis. Clinically, a single brown-yellow papule or nodule is characteristic of solitary spindle cell xanthogranuloma. Solitary spindle cell xanthogranuloma occurs with decreasing frequency on the head, neck, upper trunk, and occasionally the extremities of young adults (20~40 years of age). Although there have been a few reports of spindle cell xanthogranuloma, there has only been one case of spindle cell xanthogranuloma described in the Korean literature. We report a rare case of solitary spindle cell xanthogranuloma that developed in childhood and suggest this be included in the differential diagnosis among spindle cell tumors.