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  • Title: Sinus histiocytosis with massive lymphadenopathy: a case report with pleural effusion and cervical lymphadenopathy.
    Author: Ju J, Kwon YS, Jo KJ, Chae DR, Lim JH, Ban HJ, Chi SY, Oh IJ, Kim KS, Kim YI, Kim YC, Lim SC.
    Journal: J Korean Med Sci; 2009 Aug; 24(4):760-2. PubMed ID: 19654967.
    Abstract:
    Sinus histiocytosis with massive lymphadenopathy (SHML) is a rare disorder characterized by a nonneoplastic proliferation of distinctive histiocyte cells within lymph node sinuses and lymphatics in extranodal sites. SHML occurs worldwide and is primarily a disease of childhood and early adulthood. A 26-yr-old man presented with painless palpable lymph node in cervical area. Radiographic studies revealed pleural effusion with lymphadenopathy and calcification in mediastinum. The cervical lymph node biopsy showed dilated sinuses filled with histiocytes with clear cytoplasm. The cells stained positive with CD68 and S-100. These cytologic and immunohistochemical findings were considered consistent with the diagnosis of SHML.
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