LCH of the Scapula in a 2-Year-Old Masquerading as an ABC: A Case Report and Literature Review

A. Popović, Rana Naous, T. Damron
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Abstract

We describe a unique case of Langerhans Cell Histiocytosis (LCH) arising in the scapula of a 2-year old male child masquerading as an aneurysmal bone cyst (ABC) at clinical presentation and on imaging. Scapular involvement is only occasionally noted in LCH cases. Solitary bone involvement in our patient’s age group is uncommon in LCH without multi-organ involvement. Careful pathologic examination and immunohistochemistry was crucial in establishing this diagnosis due to the presence of a solitary lesion with fluid-fluid levels.
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2岁儿童肩胛骨LCH伪装成ABC: 1例报告及文献回顾
我们描述一个独特的病例朗格汉斯细胞组织细胞增多症(LCH)出现在肩胛骨的2岁男孩伪装成动脉瘤性骨囊肿(ABC)的临床表现和影像学。肩胛骨受累仅偶见于LCH病例。单发骨受累在无多器官受累的LCH中并不常见。仔细的病理检查和免疫组织化学是建立这个诊断至关重要的,因为存在一个孤立的病变与液-液水平。
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