[Lymph node eosinophilic granuloma. Apropos of 2 cases of Langerhans-cell histiocytosis with isolated lymph node involvement].

M Robert, C Marty-Double
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Abstract

The authors report two cases of isolated lymph node involvement by Langerhans' cell histiocytosis which affected two young children. The histologic aspect reveals that lymph nodes have been modified by a proliferation of large histiocyte-like cells, associated with eosinophils. An immunohistochemical study on paraffin sections and for one case on frozen sections, reveals the usual phenotype of Langerhans' cells: these cells stain positively with S 100 protein and CD1 and are negative for both lysozyme and al antichymotrypsine. After a period of two years for one child and four years for the other, these children are in total remission, one spontaneously, the other after chemotherapy.

淋巴结嗜酸性肉芽肿。2例朗格汉斯细胞组织细胞增多症伴孤立淋巴结受累。
作者报告了两例孤立淋巴结受累的朗格汉斯细胞组织细胞增多症,影响了两个年幼的孩子。组织学方面显示淋巴结已被与嗜酸性粒细胞相关的大型组织细胞样细胞的增殖所改变。对石蜡切片和一例冷冻切片的免疫组织化学研究揭示了朗格汉斯细胞的通常表型:这些细胞对s100蛋白和CD1染色呈阳性,对溶菌酶和抗乳蛋白酶均呈阴性。一个孩子两年,另一个四年后,这些孩子完全缓解了,一个是自发的,另一个是化疗后的。
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