title: Soft tissue Langerhans cell histiocytosis with secondary bone involvement in extremities: evolution of lesions in two patients.
abstract: Langerhans cell histiocytosis (LCH) is an uncommon disorder of unknown etiology with a wide spectrum of biological behavior. The most common sites of involvement are bone, skin, and lung. While osseous LCH can result in secondary soft tissue involvement, primary soft tissue LCH in extremities with secondary bone involvement is rare, and little is known about its natural course. We report two adult patients with multi-organ system LCH who had primary soft tissue lesions with secondary involvement of adjoining bones in lower extremities, and illustrate the important role played by various imaging modalities in detection and monitoring of treatment response. We also document spontaneous clinical resolution of LCH lesions without therapy, and positive response of these lesions to chemotherapy.
authors.affiliation: Department of Radiology, Division of Diagnostic Imaging, The University of Texas M.D. Anderson Cancer Center, 1515 Holcombe Blvd., Unit 1475, Houston, TX 77030, USA. bamini@mdanderson.org
authors.forename: Behrang
authors.initials: B
authors.lastname: Amini
authors.forename: Rajendra
authors.initials: R
authors.lastname: Kumar
authors.forename: Wei-Lien
authors.initials: WL
authors.lastname: Wang
mesh_terms: D000328:Adult; D001847:Bone Diseases / Q000175:diagnosis*; D003240:Connective Tissue Diseases / Q000175:diagnosis*; D005121:Extremities / Q000000981:diagnostic imaging / Q000473:pathology; D006646:Histiocytosis, Langerhans-Cell / Q000175:diagnosis*; D006801:Humans; D008297:Male; D064847:Multimodal Imaging; D009378:Neoplasms, Multiple Primary / Q000175:diagnosis*; D011859:Radiography; D011877:Radionuclide Imaging