Langerhans Cell Tumor of the Spine: A Report of Two Clinical Cases

Thị Kim Huệ Nguyễn1, , Thủy Trang Đàm2, Mạnh Cường Phạm2, Đăng Lưu Vũ2, Quang Anh Nguyễn1
1 Trường Đại học Y Hà Nội
2 Hội Điện quang và Y học hạt nhân Việt Nam

Main Article Content

Abstract

Langerhans cell histiocytosis (LCH) is a rare disorder characterized by the abnormal proliferation of Langerhans-like cells, with potential involvement of multiple organs. The skeletal system is the most commonly affected site, accounting for approximately 60–80% of cases, with spinal involvement reported in 6.5–25% of cases and associated with a high risk of severe neurological complications. Imaging plays a crucial role in the detection and characterization of lesions, with hallmark features including “vertebra plana,” lytic bone lesions with or without associated soft-tissue masses, and characteristic signal alterations on MRI. However, due to overlapping features with infectious and malignant conditions, histopathological biopsy remains the gold standard for definitive diagnosis.

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References

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