MR imaging of cerebral involvement of Rosai-Dorfman disease: a single-centre experience with review of the literature.


Journal

La Radiologia medica
ISSN: 1826-6983
Titre abrégé: Radiol Med
Pays: Italy
ID NLM: 0177625

Informations de publication

Date de publication:
Jan 2021
Historique:
received: 03 11 2019
accepted: 12 05 2020
pubmed: 28 5 2020
medline: 23 2 2021
entrez: 28 5 2020
Statut: ppublish

Résumé

Rosai-Dorfman disease (RDD) is a rare, benign, non-Langerhans cells histiocytosis with massive lymphadenopathy of uncertain aetiology. It is commonly characterized by massive, painless, non-tender, bilateral cervical lymphadenopathy. Extra-nodal involvement is usually seen in 50% of patients, with the brain being affected in only 5% of cases, usually as dural-based lesions. Clinical presentation is heterogeneous and strongly dependent on the localization of the lesions. Although the histopathological findings are essential for the final diagnosis, brain magnetic resonance imaging (MRI) currently represents the first-line strategy for the detection of the lesions across the central nervous system (CNS); moreover, it may provide additional elements for the differential diagnosis versus other more common lesions. We performed a case-based literature review to highlight possible aetiologic and pathogenetic theories of this disease, along with imaging features of RDD, with a particular focus on the MRI characteristics of the CNS involvement (CNS-RDD). Finally, we provided a novel insight on the current therapeutic approaches, either surgical or medical.

Identifiants

pubmed: 32458270
doi: 10.1007/s11547-020-01226-7
pii: 10.1007/s11547-020-01226-7
doi:

Substances chimiques

Contrast Media 0
iomeprol 17E17JBP8L
Iopamidol JR13W81H44

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

89-98

Commentaires et corrections

Type : ErratumIn

Références

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Auteurs

Marco Varrassi (M)

Radiology Department, Ospedale "San Salvatore", Via L. Natali 1, 67100, L'Aquila, Italy.

Antonella Corridore (A)

Department of Biotechnological and Applied Clinical Science, University of L'Aquila AQ, Via Vetoio 1 AQ, 67100, L'Aquila, Italy.

Emanuele Tommasino (E)

Department of Biotechnological and Applied Clinical Science, University of L'Aquila AQ, Via Vetoio 1 AQ, 67100, L'Aquila, Italy. emanuele.tommasino@gmail.com.

Giorgia Saltelli (G)

Anesthesiology and Intensive Care, Department of Surgical and Medical Science and Translational Medicine, University "La Sapienza", Rome, Italy.

Federico Bruno (F)

Department of Biotechnological and Applied Clinical Science, University of L'Aquila AQ, Via Vetoio 1 AQ, 67100, L'Aquila, Italy.

Alessandra Di Sibio (A)

Radiology Department, Ospedale "San Salvatore", Via L. Natali 1, 67100, L'Aquila, Italy.

Alessandra Splendiani (A)

Department of Biotechnological and Applied Clinical Science, University of L'Aquila AQ, Via Vetoio 1 AQ, 67100, L'Aquila, Italy.

Ernesto Di Cesare (E)

Department of Biotechnological and Applied Clinical Science, University of L'Aquila AQ, Via Vetoio 1 AQ, 67100, L'Aquila, Italy.

Carlo Masciocchi (C)

Department of Biotechnological and Applied Clinical Science, University of L'Aquila AQ, Via Vetoio 1 AQ, 67100, L'Aquila, Italy.

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