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Clinical Article
Imaging feature of intraspinal primary Rosai-Dorfman disease on magnetic resonance imaging: a report of four cases
HAN Zhuang  MA Jun  XIAO Fu-long  FENG Qi-xing 

DOI:10.3969/j.issn.1674-8034.2015.01.009.


[Abstract] Objective: Investigating the features of intraspinal primary Rosai-Dorfman disease in MRI.Materials and Methods: The MRI features of four cases which were confirmed Rosai-Dorfman disease histologically were retrospectively evaluated and the literatures about intraspinal primary Rosai-Dorfman disease were reviewed.Results: Four cases were taken MRI examination in spine: two cases showed abnormal signals in cervical spinal canal, one case in thoracic spinal canal and one case in sacral spinal canal. All cases showed mass effect located in subdural-extramedullary spine on MRI, closely associated with spinal dura mater. All of the four cases showed iso-intensity on T1WI and T2WI. Three cases were significantly enhanced and one case was slightly enhanced after injection of contrast medium. The intensity of enhancement in abnormal mass was less in comparison with that of spinal dura mater. The mass was diffusely located in cervical spinal canal in one case.Conclusions: The possibility of intraspinal primary Rosai-Dorfman disease should be considered for differentiation in case of single or diffuse mass closely associated with spinal dure mater on MRI. Magnetic Resonance Spectroscopy may be helpful in diagnosis.
[Keywords] Histiocytosis, sinus;Spinal canal;Magnetic resonance imaging

HAN Zhuang Department of Radiology, The First Hospital of Shijiazhuang, Shijiazhuang 050021, China

MA Jun* Department of Radiology, Beijing Tiantan Hospital of Capital Medical University, Beijing 100050, China

XIAO Fu-long Department of Radiology, Beijing Tiantan Hospital of Capital Medical University, Beijing 100050, China

FENG Qi-xing Department of Radiology, Beijing Tiantan Hospital of Capital Medical University, Beijing 100050, China

*Correspondence to: Ma J, E-mail: dr_ma@sina.com

Conflicts of interest   None.

Received  2014-09-25
Accepted  2014-11-10
DOI: 10.3969/j.issn.1674-8034.2015.01.009
DOI:10.3969/j.issn.1674-8034.2015.01.009.

[1]
高刚,王海燕,田培刚,等.颈椎椎管内Rosai-Dorfman病1例.中国临床医学影像杂志, 2013, 24(2): 152.
[2]
廖悦华,李斌,李扬,等.原发性椎管内Rosai-Dorfman病影像学、临床和组织病理学分析.中国现代神经疾病杂志, 2014, 14(4): 322-328.
[3]
Wu L, Xu Y. Rosai-Dorfman disease: a rare lesion with dura tail sign mimicking spinal meningioma. Spine, 2014, 8(14): 735-739.
[4]
王蔚,陈晓东,彭大云,等.淋巴结外Rosai-Dorfman病7例临床病理分析.临床与实验病理学杂志, 2012, 28(4): 406-414.
[5]
Rosai J, Dorfman RF. Sinus histiocytosis with massive lymphadenopathy: a newly recognized benign clinicopathological entity. Arch Pathol, 1969, 87(1): 63-70.
[6]
Adeleye Ao, Amir G, Fraifeld S, et al. Diagnosis and management of Rosai-Dorfman disease involving the central nervous system. Neurol Res, 2010, 32(6): 572-578.
[7]
Weller RO, Djuanda E, Yow HY, et al. Lymphatic drainage of the brain and the pathophysiology of neurological disease. Acta Neuropathlo, 2009, 117(1): 1-14.
[8]
Al-Daraji W, Anandan A, Klassen-Fischer M, et al. Soft tissue Rosai-Dorfman disease: 29 new lesions in 18 patients, with detection of polyomavirus antigen in 3 abdominal cases. Ann Diagn Pathol, 2010, 14(5): 309-316.
[9]
Rockhill J, Mrugala M, Chamberlain MC. Intracranial meningiomas: an overview of diagnosis and treatment. Neurosurg Focus, 2007, 23(4): E1.
[10]
Yue Q, Isobe T, Shibata Y, et al. New observations concerning the interpretation of magnetic resonance spectroscopy of meningioma. Eur Radiol, 2008, 18(12): 2901-2911.
[11]
Baruah D, Guleria S, Chandra T, et al. Rosai-Dorfman disease with extensive extra nodal involvement. Eur J Radiol, 2007, 62(2): 31-33.
[12]
彭娟,罗天友,吕发金,等.质子MR波谱脂质峰升高在颅内疾病鉴别诊断的价值.磁共振成像, 2011, 2(1): 50-54.

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