[Pathologic diagnosis and differential diagnosis of pulmonary Langerhans' cell histiocytosis]

Zhonghua Bing Li Xue Za Zhi. 2004 Apr;33(2):109-12.
[Article in Chinese]

Abstract

Objective: Morphologic findings of pulmonary Langerhans' cell histiocytosis were analyzed in order to delineate diagnostic features.

Methods: H&E staining and immunohistochemical studies were performed on 7 cases of pulmonary Langerhans' cell histiocytosis.

Results: Infiltration by Langerhan's cells was obvious in all 7 cases. Inflammatory cell infiltrates, interstitial fibrosis and focal necrosis may also be seen. The cells expressed S-100 (7/7), CD68 (3/7), and CD1a (5/5).

Conclusions: In case there is radiologic suspicion of Langerhans' cell histiocytosis, pulmonary biopsy is strongly advised for a definitive diagnosis. S-100 and CD1a immunostaining is also helpful in this respect.

Publication types

  • English Abstract

MeSH terms

  • Adolescent
  • Adult
  • Antigens, CD / analysis
  • Antigens, CD1 / analysis*
  • Antigens, Differentiation, Myelomonocytic / analysis
  • Child
  • Diagnosis, Differential
  • Female
  • Histiocytosis, Langerhans-Cell / diagnosis
  • Histiocytosis, Langerhans-Cell / metabolism
  • Histiocytosis, Langerhans-Cell / pathology*
  • Humans
  • Langerhans Cells / chemistry
  • Lung / pathology*
  • Male
  • S100 Proteins / analysis

Substances

  • Antigens, CD
  • Antigens, CD1
  • Antigens, Differentiation, Myelomonocytic
  • CD1a antigen
  • CD68 antigen, human
  • S100 Proteins