[Langerhans Cell Histiocytosis in Children and Adults - An Interdisciplinary Diagnostic and Therapeutic Challenge].

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Deutsche medizinische Wochenschrift (1946) Pub Date : 2025-10-01 Epub Date: 2025-09-29 DOI:10.1055/a-2665-9270
Anke Barnbrock, Luciana Porto, Johanna Schmoll, Thomas Lehrnbecher, Michael Girschikofsky
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Abstract

Langerhanscell histiocytosis (LCH) is a rare malignant disease, which commonly occurs during childhood and adolescence, but may also be seen in adult patients. Although LCH lesions are mostly found in bones, skin and the pituitary gland, the disease may affect almost each organ and cause a variety of symptoms. There are differences between pediatric and adult patients regarding diagnostics and therapy. Better insights in the pathophysiology of the disease resulted in the development of new therapeutic approaches such as the use of RAF or MAP-Kinase inhibitors and may help to guide therapy. Although each patient with LCH should be referred to a pediatric or internal oncologist, long-term interdisciplinary care is needed for many patients.

儿童和成人的朗格汉斯细胞组织细胞增多症——一个跨学科的诊断和治疗挑战。
朗格汉斯细胞组织细胞增多症(LCH)是一种罕见的恶性疾病,常见于儿童和青少年,但也可能见于成人患者。虽然LCH病变多见于骨骼、皮肤和脑垂体,但该病可影响几乎所有器官并引起多种症状。在诊断和治疗方面,儿童和成人患者存在差异。对该疾病病理生理学的更好了解导致了新的治疗方法的发展,例如使用RAF或map -激酶抑制剂,并可能有助于指导治疗。虽然每个LCH患者都应该转诊给儿科或内科肿瘤科医生,但许多患者需要长期的跨学科护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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