Abstract
An exeptional case of Rosai-Dorfman disease (sinus histiocytosis with massive lymphadenopathy) arising from the meninges in a 60-year-old Japanese man is presented. Computerized tomographic scans and magnetic resonance images demonstrated well-circumscirbed tumorous lesions that were homogeneously enhanced with contrast medium. Systemic examination revealed no abnormalities except for a cervical lymphadenopathy and diabetes mellitus. Microscopic examination of the resected specimens showed proliferated histiocytosis and infiltration of plasma cells and lymphocytes. The histology was characterized by the presence of histiocytes demonstrating lymphophagocytosis and immunoreactivity for S-100 protein staining. Immunohistochemical studies and electron microscopy were useful in confirming the diagnosis. The clinical and histopathological features of this disease are discussed.
Similar content being viewed by others
References
Rosai J, Dorfman RF (1969) Sinus histiocytosis with massive lymphadenopathy. A newly recognized benign clinicopathological entity. Arch Pathol 8:63–70
Foucar F, Rosai J, Dorfman R (1990) Sinus histiocytosis with massive lymphadenopathy (Rosai-Dorfman disease): review of the entity. Semin Diagn Pathol 7:19–73
Asai A, Matsutani M, Kohno T, et al. (1988) Leptomeningeal and orbital benign lymphophagocytic histiocytosis. Case report. J Neurosurg 69:610–612
Bhattacharjee MB, Wroe SJ, Harding BN, et al. (1992) Sinus histiocytosis with massive lymphadenopathy—isolated suprasellar involvement. J Neurol Neurosurg Psychiatry 55:156–158
Carey MP, Case CP (1987) Sinus histiocytosis with massive lymphadenopathy presenting as a meningioma. Neuropathol Appl Neurobiol 13:391–398
Katz DS, Poe LB, Corona RJ Jr (1993) Sinus histiocytosis with massive lymphadenopathy: a case of simultaneous upper respiratory tract and CNS disease without lymphadenopathy. AJNR 14:219–222
Kitai R, Sato K, Kubota T, et al. (1996) Meningeal sinus histiocytosis mimicking lymphoplasmacyte-rich meningioma. Case report. J Neurosurg 84:1051–1054
Lopez P, Estes ML (1989) Immunohistochemical characterization of the histiocytes in sinus histiocytosis with massive lymphadenopathy: analysis of an extranodal case. Hum Pathol 20:711–715
Shaver EG, Rebsamen SL, Yachnis AT, et al. (1993) Isolated extranodal intracranial sinus histiocytosis in a 5-year-old boy. Case report. J Neurosurg 79:769–773
Trudel M (1984) Dural involvement in sinus histiocytosis with massive lymphadenopathy. Case report. J Neurosurg 60:850–852
Wenig BM, Abbondanzo SL, Childers EL, et al. (1993) Extranodal sinus histiocytosis with massive lymphadenopathy (Rosai-Dorfman disease) of the head and neck. Hum Pathol 24:483–492
Levine PH, Jahan M, Murari P, et al. (1992) Detection of human herpesvirus 6 in tissues involved by sinus histiocytosis with massive lymphadenopathy (Rosai-Dorfman disease). J Infect Dis 166:291–295
Foucar E, Rosai J, Dorfman RF, et al. (1984) Immunologic abnormalities and their significance in sinus histiocytosis with massive lymphadenopathy. Am J Clin Pathol 82:515–525
Foucar E, Rosai J, Dorfman RF (1984) Sinus histiocytosis with massive lymphadenopathy. An analysis of 14 deaths occurring in a patients registry. Cancer 54:1834–1840
Foucar E, Rosai J, Dorfman RF, et al. (1982) The neurologic manifestations of sinus histiocytosis with massive lymphadenopathy. Neurology 32:365–372
Haas RJ, Helmig MS, Prechtel K (1978) Sinus histiocytosis with massive lymphadenopathy and paraparesis: remission with chemotherapy. A case report. Cancer 42:77–80
Goldsher D, Litt AW, Pinto RS, et al. (1990) Dural “tail” associated with meningiomas on Gd-DTPA-enhanced MR images: characteristics, differential diagnostic value, and possible implications for treatment. Radiology 176:447–450
Song SK, Schwartz IS, Strauchen JA, et al. (1989) Meningeal nodules with features of extranodal sinus histiocytosis with massive lymphadenopathy. Am J Surg Pathol 13:406–412
Aoyama K, Terashima K, Imai Y, et al. (1984) Sinus histiocytosis with massive lymphadenopathy. A histogenic analysis of histiocytes found in the fourth Japanese case. Acta Pathol Jpn 34:375–388
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Sakai, K., Koike, G., Seguchi, K. et al. Sinus histiocytosis with massive lymphadenopathy: A case of multiple dural involvement. Brain Tumor Pathol 15, 63–69 (1998). https://doi.org/10.1007/BF02478885
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02478885