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2. Langerhans Cell Histiocytosis With Vertebral Involvement Diagnosed and Treated Over the Last 15 Years in a Single Canadian Pediatric Academic Institution.

Author

Gatineau-Sailliant S, Grimard P, Miron MC, Grimard G, Carret AS, and Leclerc JM

Subjects
Adolescent, Canada, Child, Child, Preschool, Female, Humans, Infant, Male, Retrospective Studies, Histiocytosis, Langerhans-Cell complications, Histiocytosis, Langerhans-Cell pathology, Spinal Diseases etiology, Spinal Diseases pathology
Abstract

We report 11 children with vertebral lesion of Langerhans cell histiocytosis (LCH) diagnosed and treated between 2000 and 2015. Vertebral lesions were usually present at LCH diagnosis. No child developed neurologic symptoms. Among 29 vertebral lesions, only 2 were unstable. Chemotherapy was used in all children but 3. A LCH recurrence was observed in 6 patients, involving vertebrae in 4 cases. All children were disease-free at their last follow-up. Sequelae were more often radiologic than clinical. Since potential recurrences and incomplete bone regeneration exist, discussion about optimal treatment and long-term follow-up of vertebral lesions are essential.

Published
2020
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