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Langerhans′ Cell Histiocytosis (LCH)

  • Chapter
Radiotherapy for Non-Malignant Disorders

Part of the book series: Medical Radiology ((Med Radiol Radiat Oncol))

Abstract

Langerhans’ cell histiocytosis (LCH) is a rare semimalignant disease in which an uncontrolled proliferation of Langerhans’ cells involves one or more body systems or tissues, leading to different clinical manifestations. Langerhans’ cell histiocytosis nowadays includes diseases previously designated as histiocytosis X, eosinophilic granuloma, Hand-Schüller-Christian syndrome or Abt-Letterer-Siwe disease. Langerhans’ cell histiocytosis usually is considered to be a typical disease of children; nevertheless, many adults are newly diagnosed, and the disease course in children can continue during their adult life. Primary isolated pulmonary Langerhans’ cell histiocytosis, especially in adults, seems to represent a special form of disease [24, 109, 116] requiring specialized (non-radiotherapeutic) treatment and is not addressed in this book chapter.

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References

  1. Abt AF (1936) Letterer-Siwe’s disease. Splenomegaly associated with widespread hyperplasia of nonlipoid-storing macrophages. Discussion of the so-called reticuloendothelioses. Am J Dis Child 51:499

    Google Scholar 

  2. Anonsen CK, Donaldson SS (1987) Langerhans’ cell histiocytosis of the head and neck. Laryngoscope 5:537–542

    Google Scholar 

  3. Ardekian C, Peled M, Rosen D et al (1999) Clinical and radiographic features of eosinophilic granuloma in the jaws: review of 41 lesions treated by surgery and low-dose radiotherapy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 87:238–242

    Article  PubMed  CAS  Google Scholar 

  4. Arzoo K, Sadeghi S, Pullarkat V (2001) Pamidronate for bone pain from osteolytic lesions in Langerhans’ cell histiocytosis. N Engl J Med 345:225

    Article  PubMed  CAS  Google Scholar 

  5. Baumgartner I, von Hochstetter A, Baumert B et al (1997) Langerhans’ cell histiocytosis in adults. Med Pediatr Oncol 28:9–14

    Article  PubMed  CAS  Google Scholar 

  6. Berry DH, Becton DL (1987) Natural history of histiocytosis-X. Hematol Oncol Clin North Am 1:23–24

    PubMed  CAS  Google Scholar 

  7. Bertram C, Madert J, Eggers C (2002) Eosinophilic granuloma of the cervical spine. Spine 27:1408–1413

    Article  PubMed  Google Scholar 

  8. Blum R, Seymour JF, Hicks RJ (2002) Role of 18FDG-positron emission tomography scanning in the management of histiocytosis. Leukemia Lymphoma 43:2155–2157

    Article  PubMed  Google Scholar 

  9. Booth JB, Thomas RS (1970) Histiocytosis X. J Laryngol Otol 84:1123–1132

    Article  PubMed  CAS  Google Scholar 

  10. Bopp JH, Gunther D (1970) Die Strahlenbehandlung des eosinophilen Granuloms. Strahlentherapie 140:143–147

    PubMed  CAS  Google Scholar 

  11. Boutsen Y, Esselinckx W, Delos M, Nisolle JF (1999) Adult onset of multifocal eosinophilic granuloma of bone: A long-term follow-up with evaluation of various treatment options and spontaneous healing. Clin Rheumatol 18:69–73

    Article  PubMed  CAS  Google Scholar 

  12. Braier J, Chantada G, Rosso D et al (1999) Langerhans’ cell histiocytosis: Retrospective evaluation of 123 patients at a single institution. Pediatr Hematol Oncol 16:377–385

    Article  PubMed  CAS  Google Scholar 

  13. Broadbent V, Pritchard J, Yeomans E (1989) Etoposide (VP-16) in the treatment of multisystem Langerhans’ cell histiocytosis (histiocytosis X). Med Pediatr Oncol 17:97–100

    Article  PubMed  CAS  Google Scholar 

  14. Broadbent V, Egeler RM, Nesbit ME Jr (1994) Langer-hans’ cell histiocytosis-Clinical and epidemiological aspects. Br J Cancer 70:11–16

    Google Scholar 

  15. Brown RE (2001) Bisphosphonates as alveolar macrophage therapy in pulmonary Langerhans’ cell histiocytosis? Med Pediatr Oncol 36:641–643

    Article  PubMed  CAS  Google Scholar 

  16. Capanna R, Springfield DS, Ruggieri P et al (1985) Direct cortisone injection in eosinophilic granuloma of bone: A preliminary report on 11 patients. J Pediatr Orthop 5:339–342

    PubMed  CAS  Google Scholar 

  17. Cassady JR (1987) Current role of radiation therapy in the management of histiocytosis X. Hematol Oncol Clin N Am 1:123–129

    CAS  Google Scholar 

  18. Ceci A, Terlizzi MD, Colella R et al (1988) Etoposide in recurrent childhood Langerhans’ cell histiocytosis: An Italian cooperative study. Cancer 62:2528–2531

    Article  PubMed  CAS  Google Scholar 

  19. Ceci A, Terlizzi MD, Colella R et al (1993) Langerhans’ cell histiocytosis in childhood: Results from an Italian Cooperative AIEOP-CNR-HX 83 study. Med Pediatr Oncol 21:259–264

    Article  PubMed  CAS  Google Scholar 

  20. Charabi S, Hultberg IB, Snitker G, Pedersen TF (1985) Perianal histiocytosis-X. Ugeskr Laeger 147:4113–4114

    PubMed  CAS  Google Scholar 

  21. Christian HA (1920) Defects in membraneous bones, exophthalmos and diabetes insipidus; an unusual syndrome of dyspituitarism. Med Clin North Am 3:849

    Google Scholar 

  22. Chu T, D’Angio GJ, Favara B et al (1987) Histiocytosis syndromes in children: Writing Group of the Histiocyte Society. Lancet 1:208–209

    Google Scholar 

  23. Cohen M, Zornoza J, Cangir A et al (1980) Direct injection of methylprednisolone sodium succinate in the treatment of solitary eosinophilic granuloma of bone: A report of nine cases. Radiology 136:289–293

    PubMed  CAS  Google Scholar 

  24. Colby TV, Lombard C (1983) Histiocytosis X in the lung. Hum Pathol 14:847–856

    Article  PubMed  CAS  Google Scholar 

  25. Conias S, Strutton G, Stephenson G (1998) Adult cutaneous Langerhans’ cell histiocytosis. Australas J Dermatol 39:106–108

    Article  PubMed  CAS  Google Scholar 

  26. Culic S, Jakobson A, Culic V et al (2001) Etoposide as the basic and interferon-alpha as the maintenance therapy for Langerhans’ cell histiocytosis: A RTC. Pediatr Hematol Oncol 18:291–294

    Article  PubMed  CAS  Google Scholar 

  27. De Graaf JH, Egeler RM (1997) New insights into the pathogenesis of Langerhans’ cell histiocytosis. Curr Opin Pediatr 9:46–50

    Article  PubMed  Google Scholar 

  28. Dogan AS, Conway JJ, Miller JH et al (1996) Detection of bone lesions in Langerhans’ cell histiocytosis: Complementary roles of scintigraphy and conventional radiography. J Pediatr Hematol Oncol 18:51–58

    Article  PubMed  CAS  Google Scholar 

  29. Egeler RM, De Kraker J, Voute PA (1993) Cytosine-ara-binoside, vincristine, and prednisolone in the treatment of children with disseminated Langerhans’ cell histiocytosis with organ dysfunction: Experience at a single institution. Med Pediatr Oncol 21:265–270

    Article  PubMed  CAS  Google Scholar 

  30. Egeler RM, De Kraker J, Voute PA (1993) Langerhanscel-histiocytosis (histiocytosis X); 20 jaar ervaring in het Emma Kinderziekenhuis, 1969-1988. Ned Tijdschr Geneeskd 137:955–960

    PubMed  CAS  Google Scholar 

  31. Egeler RM, D’Angio GJ (1995) Langerhans’ cell histiocytosis. J Pediatr 127:1–11

    Article  PubMed  CAS  Google Scholar 

  32. El-Sayed S, Brewin TB (1992) Histiocytosis X: does radiotherapy still have a role? Clin Oncol 4:27–31

    Article  CAS  Google Scholar 

  33. Elooma I, Blomqvist C, Porkka L et al (1989) Experiences of clodronate treatment of multifocal eosinophilic granuloma of bone. J Intern Med 1:59–61

    Article  Google Scholar 

  34. Eriksen B, Janinis J, Variakojis D et al (1988) Primary histiocytosis X of the parieto-occipital lobe. Hum Pathol 19:611–614

    Article  PubMed  CAS  Google Scholar 

  35. Farran RP, Zaretski E, Egeler RM (2001) Treatment of Langerhans’ cell histiocytosis with pamidronate. J Pediatr Hematol Oncol 23:54–56

    Article  PubMed  CAS  Google Scholar 

  36. Favara BE, Feller AC, Pauli M et al (1997) Contemporary classification of histiocytic disorders. Med Pediatr Oncol 29:157–166

    Article  PubMed  CAS  Google Scholar 

  37. Fiorillo A, Sadile F, De Chiara C et al (1993) Bone lesions in Langerhans’ cell histiocytiosis. Clin Pediatr 32:118–120

    Article  CAS  Google Scholar 

  38. Floman Y, Bar-On E, Mosheiff R et al (1997) Eosinophilic granuloma of the spine. J Pediatr Orthop 6:260–265

    CAS  Google Scholar 

  39. Fowles JV, Bobechko WP (1970) Solitary eosinopholic granuloma in bone. J Bone Joint Surg Br 52:238–243

    PubMed  CAS  Google Scholar 

  40. Gadner H, Heitger A, Grois N et al (1994) A treatment strategy for disseminated Langerhans’ cell histiocytosis. Med Pediatr Oncol 23:72–80

    Article  PubMed  CAS  Google Scholar 

  41. Gadner H, Grois N, Arico M et al (2001) A randomized trial of treatment for multisystem Langerhans’ cell histiocytosis. J Pediatr 138:728–734

    Article  PubMed  CAS  Google Scholar 

  42. Ghanem I, Tolo VT, D’Ambra P, Malogalowkin MH (2003) Langerhans’ cell histiocytosis of bone in children and adolescents. J Pediatr Orthop 23:124–130

    Article  PubMed  Google Scholar 

  43. Gizewski ER, Forsting M (2001) Histiocytosis mimicking a pineal gland tumour. Neuroradiology 43:644–646

    Article  PubMed  CAS  Google Scholar 

  44. Gmelin E, von Lieven H (1980) Zur Strahlentherapie des eosinophilen Knochengranuloms. Strahlentherapie 156:611–615

    PubMed  CAS  Google Scholar 

  45. Greenberger JS, Cassady JR, Jaffe N et al (1979) Radiation therapy in patients with histiocytosis: Management of diabetes insipidus and bone lesions. Int J Radiat Oncol Biol Phys 5:1749–1755

    PubMed  CAS  Google Scholar 

  46. Greenberger JS, Crocker AC, Vawter G et al (1981) Results of treatment of 127 patients with systemic histiocytosis (Letterer-Siwe syndrome, Schuller-Christian syndrome and multifocal eosinophilic granuloma). Medicine 60:311–338

    Article  PubMed  CAS  Google Scholar 

  47. Greinix HT, Storb R, Sanders JE, Petersen FB (1992) Marrow transplantation for treatment of multisystem progressive Langerhans’ cell histiocytosis. Bone Marrow Transpl 10:39–40

    CAS  Google Scholar 

  48. Ha SY, Helms P, Fletcher M et al (1992) Lung involvement in Langerhans’ cell histiocytosis: Prevalence, clinical features and outcome. Paediatrics 89:466–469

    CAS  Google Scholar 

  49. Hand A (1893) Polyuria and tuberculosis. Arch Pediatr 10:673

    Google Scholar 

  50. Harms D, Müller KM (2001) Pathologische Aspekte der Langerhans-Zell-Histiozytose. Mit besonderer Berücksichtigung auch der pulmonalen LCH. Pathologe 22:175–183

    Article  PubMed  CAS  Google Scholar 

  51. Hawkins MM, Wilson LMK, Stovall MA et al (1992) Epipodophyllotoxins, alkylating agents, and radiation and risk of secondary leukemia after childhood cancer. Br Med J 304:951–958

    Article  CAS  Google Scholar 

  52. Herzog KM, Tubbs RR (1998) Langerhans’ cell histiocytosis. Adv Anat Pathol 5:347–358

    Article  PubMed  CAS  Google Scholar 

  53. Howarth DM, Mullan BP, Wiseman GA et al (1996) Bone scintigraphy evaluated in diagnosing and staging Langerhans’ cell histiocytosis and related disorders. J Nucl Med 37:1456–1460

    PubMed  CAS  Google Scholar 

  54. Howarth DM, Gilchrist GS, Mullan BP et al (1999) Langerhans’ cell histiocytosis. Diagnosis, natural history, management, and outcome. Cancer 85:2278–2290

    Article  PubMed  CAS  Google Scholar 

  55. Ikeda M, Yamamoto Y, Kitagawa N et al (1993) Solitary nodular Langerhans’ cell histiocytosis. Br J Dermatol 128:220–222

    Article  PubMed  CAS  Google Scholar 

  56. Irving RM, Broadbent V, Jones NS (1994) Langerhans’ cell histiocytosis in childhood: Management of head and neck manifestations. Laryngoscope 104:64–70

    Article  PubMed  CAS  Google Scholar 

  57. Itoh H, Waga S, Kojima T, Hoshino T (1992) Solitary eosinophilic granuloma in the frontal lobe: case report. Neurosurgery 30:295–298

    Article  PubMed  CAS  Google Scholar 

  58. Iwatsuki K, Tsuquki M, Yoshizawa N et al (1986) The effect of phototherapy on cutaneous lesions of histiocytosis X in the elderly. Cancer 57:1931–1936

    Article  PubMed  CAS  Google Scholar 

  59. Kaltsas GA, Powles TB, Evanson J et al (2000) Hypothalamo-pituitary abnormalities in adult patients with Langerhans’ cell histiocytosis: Clinical, endocrinological, and radiological features and response to treatment. J Clin Endocrinol Metab 85:1370–1376

    Article  PubMed  CAS  Google Scholar 

  60. Kamizono J, Okada Y, Shirahata A, Tanaka Y (2002) Bisphosphonate induces remission of refractory osteolysis in Langerhans’ cell histiocytosis. J Bone Miner Res 17:1926–1928

    Article  PubMed  Google Scholar 

  61. Kilborn TN, Teh J, Goodman TR (2003) Paediatric manifestations of Langerhans’ cell histiocytosis: A review of the clinical and radiological findings. Clin Radiol 58:269–278

    Article  PubMed  CAS  Google Scholar 

  62. Kilpatrick SE, Wenger DE, Gilchrist GS et al (1995) Langerhans’ cell histiocytosis (histiocytosis X) of bone. A clinicopathologic analysis of 263 pediatric and adult cases. Cancer 76:2471–2484

    Article  PubMed  CAS  Google Scholar 

  63. Kwon OS, Cho KH, Song KY (1997) Primary cutaneous Langerhans’ cell histiocytosis treated with photochemotherapy. J Dermatol 24:54–56

    PubMed  CAS  Google Scholar 

  64. Ladisch S, Gadner H (1994) Treatment of Langerhans’ cell histiocytosis-evolution and current approaches. Br J Cancer 70 [Suppl 13]:541–546

    Google Scholar 

  65. Ladisch S, Gadner H, Arico M et al (1994) A randomized trial of etoposide vs. vinblastine in disseminated Langerhans’ cell histiocytosis. The Histiocyte Society. Med Pediatr Oncol 23:107–110

    Article  PubMed  CAS  Google Scholar 

  66. Ladisch S, Jaffe ES (1995) The histiocytoses. In: Pizzo PA, Poplack DG (eds) Principles and practice of pediatric oncology. Lippincott, Philadelphia, pp 617–630

    Google Scholar 

  67. Ladisch S (1998) Langerhans’ cell histiocytosis. Curr Opin Hematol 5:54–58

    Article  PubMed  CAS  Google Scholar 

  68. Lahey ME (1962) Prognosis in reticuloendotheliosis in children. J Pediatr 60:664–669

    Article  Google Scholar 

  69. Langerhans P (1868) Über die Nerven der menschlichen Haut. Virchows Arch Pathol Anat 44:325–337

    Article  Google Scholar 

  70. Leikin (1987) Immunobiology of histiocytosis X. Hematol Oncol Clin North Am 1:49–61

    PubMed  CAS  Google Scholar 

  71. Letterer E (1924) Aleukämische Retikulose (ein Beitrag zu den proliferativen Erkrankungen des Retikuloendothelioseapparates). Frank Z Pathol 30:377

    Google Scholar 

  72. Lichtenstein L (1953) Histiocytosis X: integration of eosinophilic granuloma of bone, Letterer-Siwe disease, and Schüller-Christian disease, as related manifestations of a single nosologie entity. AMA Arch Pathol 56:84–102

    PubMed  CAS  Google Scholar 

  73. Lichtenstein L (1964) Histiocytosis X (eosinophilic granuloma of bone, Letterer-Siwe disease, and Schüller-Christian disease): Further observations of pathological and clinical importance. J Bone Joint Surg Am 46:76–90

    PubMed  CAS  Google Scholar 

  74. Lichtenwald DJ, Jakubovic HR, Rosenthal D (1991) Primary cutaneous Langerhans’ cell histiocytosis in an adult. Arch Dermatol 127:1545–1548

    Article  PubMed  CAS  Google Scholar 

  75. Lieberman PH, Jones CR, Steinman RM et al (1996) Langerhans’ cell (eosinophilic) granulomatosis. A clinicopathologic study encompassing 50 years. Am J Surg Pathol 20:519–552

    Article  PubMed  CAS  Google Scholar 

  76. Lin KD, Lin JD, Hsu HH et al (1998) Endocrinological aspects of Langerhans cell histiocytosis complcated with diabetes insipidus. J Endocrinol Invest 21:428–433

    PubMed  CAS  Google Scholar 

  77. Lucaya J (1971) Histiocytosis X. Am J Dis Child 121:289–295

    PubMed  CAS  Google Scholar 

  78. Mackenzie WG, Morton KS (1988) Eosinophilic granuloma of bone. Canad J Surg 31:264–267

    PubMed  CAS  Google Scholar 

  79. Martinez-Perez D, Mulliken JB, Arceci RJ (1996) Langerhans’ cell histiocytosis: an uncommon disease commonly manifesting in the craniofacial skeleton. Plast Reconstr Surg 98:211–216

    Article  PubMed  CAS  Google Scholar 

  80. McCaffrey TB, Mc Donald TJ (1979) Histiocytosis X of the ear and temporal bone: Review of 22 cases. Laryngoscope 89:1735–1742

    Article  PubMed  CAS  Google Scholar 

  81. McClain K, Jin H, Gresik V, Favara B (1994) Langerhans’ cell histiocytosis: Lack of a viral etiology. Am J Hematol 47:16–20

    Article  PubMed  CAS  Google Scholar 

  82. Meyer JS, De Camargo B (1998) The role of radiology in the diagnosis and follow-up of Langerhans’ cell histiocytosis. Hematol Oncol Clin North Am 12:307–326

    Article  PubMed  CAS  Google Scholar 

  83. Minehan KJ, Chen MG, Zimmermann Seckl JR et al (1992) Radiation therapy for diabetes insipidus caused by Langerhans’ cell histiocytosis. Int J Rad Oncol Biol Phys 23:519–524

    CAS  Google Scholar 

  84. Minkov M, Grois N, Broadbent V et al (1999) Cyclosporine A therapy for multisystem Langerhans’ cell histiocytosis. Med Pediatr Oncol 33:482–485

    Article  PubMed  CAS  Google Scholar 

  85. Minkov M, Grois N, Heitger A et al (2002) Response to initial treatment of multisystem Langerhans’ cell histiocytosis: An important prognostic indicator. Med Pediatr Oncol 39:581–585

    Article  PubMed  Google Scholar 

  86. Minkov M, Grois N, Braier J et al (2003) Immunosuppressive treatment for chemotherapy-resistant multisystem Langerhans’ cell histiocytosis. Med Pediatr Oncol 40:253–256

    Article  PubMed  Google Scholar 

  87. Misikova Z, Cap J, Foltinova A et al (1984) Our experience with childhood histiocytosis X. Neoplasma 31:697–707

    PubMed  CAS  Google Scholar 

  88. Mukadum FK, Pinto JM (1977) Eosinophilic granuloma. Indian J Cancer 14:92–96

    PubMed  CAS  Google Scholar 

  89. Nauert C, Zornoza J, Ayala A, Harle TS (1983) Eosinophilic granuloma of bone: Diagnosis and management. Skeletal Radiol 10:227–235

    Article  PubMed  CAS  Google Scholar 

  90. Nezelof C (1979) Histiocytosis X: a histological and histogenetic study. Perspect Pediatr Pathol 5:153–178

    PubMed  CAS  Google Scholar 

  91. Nyholm K (1971) Eosinophilic xanthomatous granulomatosis and Letterer-Siwe’s disease. Acta Pathol Microbiol Scand [Suppl] 216:59–69

    Google Scholar 

  92. Olschewski T, Seegenschmiedt MH, (2006) Radiotherapy of Langerhans’ cell histiocytosis: results and implications of a national patterns-of-care study. Strahlenther Onkol 182(11):629–634

    Article  PubMed  Google Scholar 

  93. Paquelin F, Cotin G, Valdazo A (1979) Granulome eosinophile de l’oreille. Revue generale a propos de deux observations. Ann Otolaryngol Chir Cervicofac 96:251–260

    PubMed  CAS  Google Scholar 

  94. Pather S, Moodley JM, Bramdev A (2001) Isolated Langerhans’ cell histiocytosis of the vulva: A case report. J Obstet Gynaecol Res 27:111–115

    Article  PubMed  CAS  Google Scholar 

  95. Pereslegin IA, Ustinova VF, Podlyashuk EL (1981) Radiotherapy for eosinophilic granuloma of bone. Int J Radiat Oncol Biol Phys 7:317–321

    Article  CAS  Google Scholar 

  96. Raab P, Hohmann F, Kühl J, Krauspe R (1998) Vertebral remodeling in eosinophilic granuloma of the spine. A long-term follow-up. Spine 23:1351–1354

    Article  PubMed  CAS  Google Scholar 

  97. Rawlings CE 3rd, Wilkins RH (1984) Solitary eosinophilic granuloma of the skull. Neurosurgery 15:155–161

    Article  PubMed  Google Scholar 

  98. Rivera-Luna M, Martinez-Guerra G, Altamirano-Alvarez E et al (1988) Langerhans’ cell histiocytosis: Clinical experience with 124 patients. Pediatr Dermatol 5:145–150

    Article  PubMed  CAS  Google Scholar 

  99. Schüller A (1915) Über eigenartige Schädeldefekte im Jugendalter. Fortschr Röntgenstr 23:12

    Google Scholar 

  100. Rosenzweig KE, Arceci RJ, Tarbell NJ (1997) Diabetes insipidus secondary to Langerhans’ cell histiocytosis: Is radiation therapy indicated? Med Pediatr Oncol 29:36–40

    Article  PubMed  CAS  Google Scholar 

  101. Seegenschmiedt MH (1998) Nebenwirkungen in der Onkologie. Internationale Systematik und Dokumentation. Springer, Berlin Heidelberg New York

    Google Scholar 

  102. A case report of control following low dose radiation therapy. Int J Radiat Oncol Biol Phys 13:1739–1745

    Google Scholar 

  103. Selch MT, Parker RG (1990) Radiation therapy in the management of Langerhans’ cell histiocytosis. Med Pediatr Oncol 18:97–102

    Article  PubMed  CAS  Google Scholar 

  104. Sessa S, Sommelet D, Lascombes P, Prevot J (1994) Treatment of Langerhans’-cell histiocytosis in children. Experience at the Children’s Hospital of Nancy. J Bone Joint Surg Am 76:1513–1525

    PubMed  CAS  Google Scholar 

  105. Shabb N, Fanning CV, Carrasco CH et al (1993) Diagnosis of eosinophilic granuloma of bone by fine-needle aspiration with concurrent institution of therapy: A cytologic, histologic, clinical and radiologie study of 27 cases. Diagn Cytopathol 9:3–12

    Article  PubMed  CAS  Google Scholar 

  106. Siwe SA (1933) Reticuloendotheliose-ein neues Krankheitsbild unter den Hepatosplenomegalien. Z Kinderheilk 55:212

    Article  Google Scholar 

  107. Smith T (1865) Skull-cap showing congenital deficiencies of bone. Trans Pathol Soc Lond 16:224–225

    Google Scholar 

  108. Smith DG, Nesbit ME Jr, D’Angio GJ, Levitt SH (1973) Histiocytosis X: Role of radiation therapy in management with special reference to dose levels employed. Radiology 106:419–422

    PubMed  CAS  Google Scholar 

  109. Soler P, Kambouchner M, Valeyre D, Hance AJ (1992) Pulmonary Langerhans’cell granulomatosis (histiocytosis X). Annu Rev Med 43:105–115

    PubMed  CAS  Google Scholar 

  110. Soler P, Bergeron A, Kambouchner M et al (2000 Is high-resolution computed tomography a reliable tool to predict the histopathological activity of pulmonary Langerhans’ cell histiocytosis? Am J Respir Crit Care Med 162:264–270

    PubMed  CAS  Google Scholar 

  111. Song A, Johnson TE, Dubovy SR, Toledano S (2003) Treatment of recurrent eosinophilic granuloma with systemic therapy. Ophthal Plast Reconstr Surg 19:140–144

    Article  PubMed  Google Scholar 

  112. marrow transplantation for Langerhans’ cell histiocytosis. Cancer 66:284–288

    Google Scholar 

  113. The French Langerhans’ Cell Histiocytosis Study Group (1996) A multicenter retrospective survey of Langerhans’ cell histiocytosis: 348 cases observed between 1983 and 1993. Arch Child Dis 75:17–24

    Google Scholar 

  114. Thomas L, Durens B, Secchi T et al (1993) Successful treatment of adult Langerhans’ cell histiocytosis with thalidomide. Arch Dermatol 129:1261–1264

    Article  PubMed  CAS  Google Scholar 

  115. Titgemeyer C, Grois N, Minkov M et al (2001) Pattern and course of single-system disease in Langerhans’ cell histiocytosis. Data from the DAL-HX 83 and 90 study. Med Pediatr Oncol 37:108–114

    Article  PubMed  CAS  Google Scholar 

  116. Vassallo R, Ryu JH, Colby TV et al (2000) Pulmonary Langerhans’ cell histiocytosis. N Engl J Med 342:1969–1978

    Article  PubMed  CAS  Google Scholar 

  117. Voelklein K, Horny HP, Marzusch K, Dietl J (1993) Primary Langerhans’ cell histiocytosis of the vulva. Gynecol Obstet Invest 36:189–190

    Article  PubMed  CAS  Google Scholar 

  118. Von Koppenfels R, Wannenmacher M (1973) Zur Klinik und Therapie des eosinophilen Granuloms im Bereich des Gesichtssschädels. Dtsch Zahnärztl Z 28:514–519

    Google Scholar 

  119. Wanifuchi N, Ishikuza Y, Yabe T (1991) A case of eosinophilic granuloma in the temporal bone. Auris Nasus Larynx 18:17–26

    PubMed  CAS  Google Scholar 

  120. Wester SM, Beabout JW, Unni KK, Dahlin DC (1982) Langerhans’ cell granulomatosis (histiocytosis X) of bone in adults. Am J Surg Pathol 6:413–426

    Article  PubMed  CAS  Google Scholar 

  121. Whelan HT, Clinton ME, Fogo A, Smith H (1987) Histiocytosis X isolated to the cervical spinal cord. Am J Pediatr Hematol Oncol 9:228–232

    PubMed  CAS  Google Scholar 

  122. Wiegel T, Sommer K, Knop J et al (1991) Strahlentherapie des solitären und multiplen eosinophilen Granuloms des Knochens (Stadium I). Strahlenther Onkol 167: 403–406

    PubMed  CAS  Google Scholar 

  123. Willis B, Ablin A, Weinberg V et al (1996) Disease course and late sequelae of Langerhans’ cell histiocytosis: 25-year experience at the University of California, San Francisco. J Clin Oncol 14:2073–2082

    PubMed  CAS  Google Scholar 

  124. Willman CL, Busque L, Griffith BB et al (1994) Langerhans’ cell histiocytosis (histiocytosis X)-a clonal proliferative disease. N Engl J Med 331:154–160

    Article  PubMed  CAS  Google Scholar 

  125. Winkelmann RK, Burgert EO (1970) Therapy of histiocytosis X. Br J Dermatol 82:169–175

    Article  PubMed  CAS  Google Scholar 

  126. Yeom JS, Lee CK, Shin HY et al (1999) Langerhans’ cell histiocytosis of the spine. Analysis of 23 cases. Spine 24:1740–1749

    Article  PubMed  CAS  Google Scholar 

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Olschewski, T., Seegenschmiedt, M.H., Micke, O. (2008). Langerhans′ Cell Histiocytosis (LCH). In: Seegenschmiedt, M.H., Makoski, HB., Trott, KR., Brady, L.W. (eds) Radiotherapy for Non-Malignant Disorders. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68943-0_22

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