Isolated Langerhans Histiocytosis in Thyroid: Thyroidectomy or Chemotherapy?
Langerhans cell histiocytosis (LCH) is a rare disorder of mononuclear phagocytic system whose clinical presentation varies from the localised involvement of a single bone to a widely disseminated disease. Langerhans cell histiocytosis rarely involves the thyroid gland and isolated involvement of thyroid is even rarer. We report a case of an eight-year-old male child diagnosed with Langerhans cell histiocytosis limited to thyroid gland with review of literature. Should thyroidectomy be done or proceed with chemotherapy? Our case report raises this question with a note on the role of 18 fluoro deoxy glucose positron emission tomography-computed tomography in the management of the same.
Junior Resident, Department of E.N.T & Head and Neck Surgery, Grant Government Medical College and Sir JJ Group of Hospitals , Mumbai, Maharashtra, India .
Anoop
A
Attakkil
Assistant Professor and Head of The Unit, Department of E.N.T & Head and Neck Surgery, Grant Government Medical College and Sir JJ Group of Hospitals , Mumbai, Maharashtra, India .
Vandana
V
Thorawade
Professor and Head of The Department, Department of E.N.T & Head and Neck Surgery, Grant Government Medical College and Sir JJ Group of Hospitals , Mumbai, Maharashtra, India .
Mohan
M
Jagade
Junior Resident, Department of E.N.T & Head and Neck Surgery, Grant Government Medical College and Sir JJ Group of Hospitals , Mumbai, Maharashtra, India .
Rajesh
R
Kar
Junior Resident, Department of E.N.T & Head and Neck Surgery, Grant Government Medical College and Sir JJ Group of Hospitals , Mumbai, Maharashtra, India .
Kartik
K
Parelkar
18 FDG PET CT; CD1a; S-100; Thyroid swelling