Radiation therapy in treatment of Rosai–Dorfman disease: literature review and report of a patient with cutaneous form

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Abstract

Rosai–Dorfman disease (RDD) is a rare variant of the nonlangergans histiocytosis. Various presentation, systemic and localised forms and limited publications make diagnostics and prompt management difficult.

Aim. Literature review and presentation of the patient with cutaneous form of RDD.

Results. The patient is a 56 y.o male. In October 2019 he noticed a tumour in the left temporal area. After 3 weeks the tumor was removed. During the next two weeks the tumour recurred within the post-operative scar. After the review of the specimen and staging the skin form Rosai–Dorfman disease was diagnosed. Irradiation (total dose 36 Gr) was conducted. The tumor lessened. Through the next 4 months response is stable.

Сonclusion. Radiation therapy as a second line of treatment of the skin RDD led to a stable response.

About the authors

Vsevolod G. Potapenko

Municipal Clinical Hospital №31; Pavlov First Saint Petersburg State Medical University

Author for correspondence.
Email: potapenko.vsevolod@mail.ru
ORCID iD: 0000-0003-2985-0503

Cand. Sci. (Med.)

Russian Federation, Saint Petersburg

Irena E. Belousova

Kirov Military Medical Academy

Email: irena.belousova@mail.ru
ORCID iD: 0000-0002-4374-4435

D. Sci. (Med.), Prof.

Russian Federation, Saint Petersburg

Julia N. Vinogradova

Granov Russian Research Center for Radiology and Surgical Technologies

Email: winogradova68@mail.ru
ORCID iD: 0000-0002-0938-5213

D. Sci. (Med.)

Russian Federation, Saint Petersburg

Karina A. Kelehsaeva

Granov Russian Research Center for Radiology and Surgical Technologies

Email: kaloeva1972@yandex.ru
ORCID iD: 0000-0001-9001-266X

radiation therapist

Russian Federation, Saint Petersburg

Andrey M. Ulitin

Granov Russian Research Center for Radiology and Surgical Technologies

Email: andreiulitin000@gmail.com
ORCID iD: 0000-0003-2416-1258

Resident

Russian Federation, Saint Petersburg

Irina O. Smirnova

Municipal Hospital of Venerological and Skin Diseases; Saint Petersburg State University

Email: driosmirnova@yandex.ru

D. Sci. (Med.), Prof.

Russian Federation, Saint Petersburg

Yanina G. Petunova

Municipal Hospital of Venerological and Skin Diseases; Saint Petersburg State University

Email: yaninapetunova@yandex.ru
ORCID iD: 0000-0002-6489-4555

Cand. Sci. (Med.)

Russian Federation, Saint Petersburg

Nikolay V. Ilyin

Granov Russian Research Center for Radiology and Surgical Technologies

Email: ilyin_prof@mail.ru
ORCID iD: 0000-0002-8422-0689

D. Sci. (Med.), Prof.

Russian Federation, Saint Petersburg

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Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Diffuse dermal infiltration mostly with large histiocytes (insertion), giant cells, few plasma cells, clusters of lymphocytes.

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3. Fig. 2. Expression of S100 by the histiocytic cells.

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4. Fig. 3. Expression of CD163 by the histiocytic cells.

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5. Fig. 4. Lymphocytes and neutrophils (pointed by arrows) in the cytoplasm of histiocytes (S100+) cells (emperiopolesis).

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6. Fig. 5. Patient with Rosai–Dorfman disease with involvement of skin in temporal, buccal, forehead, mandibular and scalp areas.

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7. Fig 6. Patient with Rosai–Dorfman disease with involvement of skin in temporal, buccal, forehead, mandibular and scalp areas following 3 months after the radiotherapy course.

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