ISOLATED HISTIOCYTOSIS-X AS A RARE DIFFERENTIAL-DIAGNOSIS OF CERVICALSWELLINGS OF LYMPH-NODES - A CASE-REPORT

Cervical lymphadenopathies are widespread diseases in otorhinolaryngol ogy. There are many differential diagnoses which have to be considered when swelling persists. To gain further information it is advisable t o perform sonographically controlled fine needle aspiration biopsy (FN P). If there is no reliable result, it is necessary to remove a lymph node. We report on the rare case of isolated histiocytosis X in lymph nodes. A 63-year-old male had noticed a swelling of the right side of the neck about 6 weeks previously. The preliminary examinations (FNP/b lood examinations) revealed no pathological findings. Only the histolo gical examination delivered the diagnosis of histiocytosis X. Systemic manifestation was excluded by staging examinations. No further therap y was necessary after lymph node extirpation. The report demonstrates how to diagnose and treat this rare disease.