Extranodal Rosai–Dorfman Disease Presenting as a Mediastinal Mass with Pulmonary Artery Invasion

Rosai–Dorfman disease (RDD) is a rare, nonmalignant disorder of histiocyte proliferation typically involving the cervical lymph nodes. However, a subset of patients with RDD will display extranodal manifestations that are highly variable in presentation, more challenging to diagnose, and less likely...

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Main Authors: Andrew R. Orr, Daniel Lefler, C. Deshpande, Pallavi Kumar
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2018/3915319
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author Andrew R. Orr
Daniel Lefler
C. Deshpande
Pallavi Kumar
author_facet Andrew R. Orr
Daniel Lefler
C. Deshpande
Pallavi Kumar
author_sort Andrew R. Orr
collection DOAJ
description Rosai–Dorfman disease (RDD) is a rare, nonmalignant disorder of histiocyte proliferation typically involving the cervical lymph nodes. However, a subset of patients with RDD will display extranodal manifestations that are highly variable in presentation, more challenging to diagnose, and less likely to spontaneously regress compared to nodal disease. While case reports of extranodal involvement in nearly every organ system exist, documented instances of mediastinal and pulmonary artery involvement are particularly rare. This study describes the case of a middle-aged woman presenting with new onset right heart failure who was found to have extranodal RDD in the form of a large mediastinal mass with invasion and occlusion of the main pulmonary arteries.
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publishDate 2018-01-01
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series Case Reports in Hematology
spelling doaj-art-5317ed8bca39426c929367d0af19ff9a2025-02-03T01:23:59ZengWileyCase Reports in Hematology2090-65602090-65792018-01-01201810.1155/2018/39153193915319Extranodal Rosai–Dorfman Disease Presenting as a Mediastinal Mass with Pulmonary Artery InvasionAndrew R. Orr0Daniel Lefler1C. Deshpande2Pallavi Kumar3Department of Internal Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USADepartment of Internal Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USADepartment of Pathology, Hospital of the University of Pennsylvania, Philadelphia, PA, USADepartment of Internal Medicine, Division of Hematology and Oncology, Hospital of the University of Pennsylvania, Philadelphia, PA, USARosai–Dorfman disease (RDD) is a rare, nonmalignant disorder of histiocyte proliferation typically involving the cervical lymph nodes. However, a subset of patients with RDD will display extranodal manifestations that are highly variable in presentation, more challenging to diagnose, and less likely to spontaneously regress compared to nodal disease. While case reports of extranodal involvement in nearly every organ system exist, documented instances of mediastinal and pulmonary artery involvement are particularly rare. This study describes the case of a middle-aged woman presenting with new onset right heart failure who was found to have extranodal RDD in the form of a large mediastinal mass with invasion and occlusion of the main pulmonary arteries.http://dx.doi.org/10.1155/2018/3915319
spellingShingle Andrew R. Orr
Daniel Lefler
C. Deshpande
Pallavi Kumar
Extranodal Rosai–Dorfman Disease Presenting as a Mediastinal Mass with Pulmonary Artery Invasion
Case Reports in Hematology
title Extranodal Rosai–Dorfman Disease Presenting as a Mediastinal Mass with Pulmonary Artery Invasion
title_full Extranodal Rosai–Dorfman Disease Presenting as a Mediastinal Mass with Pulmonary Artery Invasion
title_fullStr Extranodal Rosai–Dorfman Disease Presenting as a Mediastinal Mass with Pulmonary Artery Invasion
title_full_unstemmed Extranodal Rosai–Dorfman Disease Presenting as a Mediastinal Mass with Pulmonary Artery Invasion
title_short Extranodal Rosai–Dorfman Disease Presenting as a Mediastinal Mass with Pulmonary Artery Invasion
title_sort extranodal rosai dorfman disease presenting as a mediastinal mass with pulmonary artery invasion
url http://dx.doi.org/10.1155/2018/3915319
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AT pallavikumar extranodalrosaidorfmandiseasepresentingasamediastinalmasswithpulmonaryarteryinvasion