Langerhans cell histiocytosis located in the spheno-orbital bone and the pons: illustrative case.

Efecan Cekic, Ahmet Karagoz, Mustafa Sakar, Rabia Emel Senay, Kadriye Ebru Akar, Suheyla Bozkurt, Adnan Dagcinar
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Abstract

Background: This is a case of aggressive Langerhans cell histiocytosis (LCH) with an atypical intracranial location.

Observations: In this report, the authors present the diagnosis and treatment of a 12-year-old male patient diagnosed with LCH. The patient was admitted to the emergency department with left-sided facial palsy, and a solid lesion with mass effect in the pons was found. A biopsy was performed via suboccipital craniotomy, and the diagnosis was LCH. A chemotherapy regimen was started since the LCH sample was the resistant type. The patient showed improvement in his neurological deficit following treatment.

Lessons: This rare localized and aggressive case's diagnosis process and treatment choices may apply to future cases.

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Abstract Image

位于蝶眶骨和脑桥的郎格罕细胞组织细胞增多症:一个例证性病例。
背景:这是一例侵袭性郎格罕细胞组织细胞增多症(LCH),颅内位置不典型。观察:在本报告中,作者介绍了一名被诊断为LCH的12岁男性患者的诊断和治疗。患者因左侧面瘫住进急诊室,在脑桥发现了一个具有肿块效应的实体性病变。通过枕下开颅进行活检,诊断为LCH。由于LCH样本为耐药型,因此开始了化疗方案。经过治疗,患者的神经功能缺损有所改善。经验教训:这种罕见的局限性和侵袭性病例的诊断过程和治疗选择可能适用于未来的病例。
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