Difference between revisions of "Sinus histiocytosis"

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DDx:
DDx:
*[[Rosai-Dorfman disease]] - histiocyte nuclei large (~2-3x lymphocyte) and round with a prominent nucleoli.
*[[Rosai-Dorfman disease]] - histiocyte nuclei large (~2-3x lymphocyte) and round with a prominent nucleolus.
*[[Dermatopathic lymphadenopathy]] - histiocytes have (melanin) pigment.
*[[Dermatopathic lymphadenopathy]] - histiocytes have (melanin) pigment.



Revision as of 03:33, 1 December 2013

Sinus histiocytosis, abbreviated SH, is a common finding in lymph nodes.

It should not be confused with Rosai-Dorfman disease (also known as sinus histiocytosis and massive lymphadenopathy).

General

  • Benign.
  • Non-specific finding.
  • Reported in association with hip replacements.[1]

Microscopic

Features:[2]

  • Sinuses distended with histiocytes - key feature.
  • Plasma cells increased.

DDx:

Images

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  • The finding is often ignored; may be signed out as morphologically benign lymph nodes.

See also

References

  1. Albores-Saavedra, J.; Vuitch, F.; Delgado, R.; Wiley, E.; Hagler, H. (Jan 1994). "Sinus histiocytosis of pelvic lymph nodes after hip replacement. A histiocytic proliferation induced by cobalt-chromium and titanium.". Am J Surg Pathol 18 (1): 83-90. PMID 8279630.
  2. Ioachim, Harry L; Medeiros, L. Jeffrey (2008). Ioachim's Lymph Node Pathology (4th ed.). Lippincott Williams & Wilkins. pp. 179. ISBN 978-0781775960.