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CASE REPORT

LCH of the Scapula in a 2-Year-Old Masquerading as an ABC: A Case Report and Literature Review

The Open Orthopaedics Journal 22 Oct 2020 CASE REPORT DOI: 10.2174/1874325002014010130

Abstract

We describe a unique case of Langerhans Cell Histiocytosis (LCH) arising in the scapula of a 2-year old male child masquerading as an aneurysmal bone cyst (ABC) at clinical presentation and on imaging. Scapular involvement is only occasionally noted in LCH cases. Solitary bone involvement in our patient’s age group is uncommon in LCH without multi-organ involvement. Careful pathologic examination and immunohistochemistry was crucial in establishing this diagnosis due to the presence of a solitary lesion with fluid-fluid levels.

Keywords: Langerhans cell histiocytosis, Aneurysmal bone cyst, Scapular, Histiocytes, Hemosiderin, Frozen section, Cerament.
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