M. Lehnert et al., SINUS HISTIOCYTOSIS WITH MASSIVE LYMPHADENOPATHY - SKELETAL INVOLVEMENT, Archives of orthopaedic and trauma surgery, 113(1), 1993, pp. 53-56
A 64-year-old female patient has been suffering from sinus histiocytos
is with massive lymphadenopathy (SHML) for 2 years. After 12 months of
illness, the patient developed swelling and pain in various skeletal
regions. Scintigraphic, radiological and CT imaging revealed multiple
osseous lesions. Subsequent biopsies yielded the histomorphological fi
ndings typical for SHML. After operative resection of the left cuboid,
which was the most painful region during walking, the defect was fill
ed with an autologous bone transplant. At this time no other osteolyti
c region was treated surgically, because the patient had first to unde
rgo ENT treatment.