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Primary Bilateral Intraosseous Rosai-Dorfman Disease.

Charlotte R FosterJohn D ReithOmar Habeeb
Published in: International journal of surgical pathology (2022)
Rosai-Dorfman disease (RDD) is a rare histiocytic proliferative disease of unknown etiology. Typically presenting with cervical adenopathy and constitutional symptoms, RDD involves bone in less than 10% of cases-and rarely presents as a primary intraosseous lesion. In this report, we describe the presentation of primary, bilateral intraosseous RDD, the first known case in the literature. Asymmetrically involving the lateral femoral condyles of a 59-year-old male, the lesion was discovered incidentally during evaluation and workup for giant cell tumor of bone involving the left tibia. Confirmation of the diagnosis required multiple biopsies and extensive evaluation-reflecting the diagnostic challenge associated with this case. We discuss the clinical, radiological, and pathological findings that allowed us to establish the diagnosis-as well as key differential diagnostic considerations and clinical outcome to date.
Keyphrases
  • case report
  • giant cell
  • systematic review
  • bone mineral density
  • minimally invasive
  • physical activity
  • body composition
  • soft tissue
  • depressive symptoms
  • ultrasound guided