Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
Case Reports
A case of langerhans cell histiocytosis affecting the thyroid
Eito NIMANTadahiko SHIENMasanori OKADAHirokuni IKEDAHiroyoshi DOIHARA
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2012 Volume 73 Issue 5 Pages 1059-1063

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Abstract
Langerhans cell histiocytosis (LCH) is a rare disease involving monoclonal proliferation of Langerhans cells. The disease can affect every organ in the whole body. This time we report an extremely rare case of LCH affecting the thyroid which was detected by PET-CT scanning. In this case, we had great difficulties in differentiating the disease from thyroid cancer with bone metastasis, and surgery for the purposes of diagnosis and treatment offered the histopathological diagnosis of LCH. After the operation the patient has been treated by chemotherapy. Long-term follow-up would be mandatory for the patient by keeping possible occurrence of late effect or secondary cancer in mind. PET-CT also appears to be beneficial for diagnosis of recurrence or secondary cancer.
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© 2012 Japan Surgical Association
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