Hepatic Langerhans cell histiocytosis: Report of a rare case

Human Pathology Reports Pub Date : 2023-11-01 Epub Date: 2023-09-27 DOI:10.1016/j.hpr.2023.300723
Renling Yao , Jun Chen , Jie Li
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Abstract

Langerhans cell histiocytosis (LCH) is a rare neoplastic disease characterized by abnormal proliferation of Langerhans cells infiltrating various organs, resulting in organ dysfunction. In some patients, the BRAFV600E mutation can be detected. Histopathology reveals a substantial proliferation of Langerhans cells, contributing significantly to the diagnosis of LCH. Clinical manifestations vary depending on the affected tissues or organs. LCH occurs less frequently in adults than in children, and clinicians often lack sufficient awareness of this disease, making it susceptible to misdiagnosis. In this report, a case of liver injury caused by Langerhans cell invasion is presented, as confirmed by a liver biopsy in adults.

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肝郎格罕细胞组织细胞增多症:一例罕见病例报告
朗格汉斯细胞组织细胞增多症(LCH)是一种罕见的肿瘤性疾病,其特征是朗格汉斯细胞异常增殖浸润各个器官,导致器官功能障碍。在一些患者中,可以检测到BRAFV600E突变。组织病理学显示郎格罕细胞大量增殖,对LCH的诊断有重要贡献。临床表现因受影响的组织或器官而异。成人LCH的发生率低于儿童,临床医生往往对这种疾病缺乏足够的认识,使其容易误诊。在本报告中,报告了一例由郎格罕细胞侵袭引起的肝损伤,经成人肝活检证实。
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