Rosai-Dorfman Disease Presenting With FDG-Avid Breast Masses and Axillary Lymph Nodes on PET-CT in a Patient With Recent Diagnosis of Endometrial Carcinoma: A Diagnostic Dilemma
Rosai-Dorfman disease (RDD) is a self-limited, idiopathic, non-neoplastic disorder characterized by the proliferation of phagocytic histiocytes, which can mimic malignant lymphoproliferative disease. Cases of RDD most commonly present as bilateral painless cervical lymphadenopathy, with lesser invol...
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2025-01-01
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| Series: | European Journal of Breast Health |
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| Online Access: | https://www.eurjbreasthealth.com/articles/rosai-dorfman-disease-presenting-with-fdg-avid-breast-masses-and-axillary-lymph-nodes-on-pet-ct-in-a-patient-with-recent-diagnosis-of-endometrial-carcinoma-a-diagnostic-dilemma/doi/ejbh.galenos.2024.2024-9-2 |
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| author | Jennifer Kudja-Rennick Pai Raghav Cedric Pluguez-Turull Katherine Drews-Elger Cristina Hoyos |
| author_facet | Jennifer Kudja-Rennick Pai Raghav Cedric Pluguez-Turull Katherine Drews-Elger Cristina Hoyos |
| author_sort | Jennifer Kudja-Rennick |
| collection | DOAJ |
| description | Rosai-Dorfman disease (RDD) is a self-limited, idiopathic, non-neoplastic disorder characterized by the proliferation of phagocytic histiocytes, which can mimic malignant lymphoproliferative disease. Cases of RDD most commonly present as bilateral painless cervical lymphadenopathy, with lesser involvement of the axilla, inguinal, and mediastinal lymph nodes. We present the case of a 62-year-old woman with a history of endometrial serous carcinoma who underwent evaluation at a dedicated breast imaging department after positron emission tomography/computed tomography (PET/CT) revealed breast masses and axillary nodes with increased uptake of fluorodeoxyglucose (FDG). Upon clinical examination, she had bilateral palpable lumps in both breasts and axillae. Subsequent dedicated breast imaging with bilateral diagnostic mammography with tomosynthesis and bilateral complete breast ultrasound were suspicious for malignancy detecting bilateral breast masses and axillary lymphadenopathy corresponding to the FDG-avid findings on PET/CT. Ultrasound-guided core needle biopsies, however, revealed a diagnosis of RDD. This case highlights the unique characteristics of RDD with an atypical clinical presentation suspicious for breast cancer both clinically and radiologically. |
| format | Article |
| id | doaj-art-9149ff6766b444fdb9d9fbfcd82f7099 |
| institution | Kabale University |
| issn | 2587-0831 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | European Journal of Breast Health |
| spelling | doaj-art-9149ff6766b444fdb9d9fbfcd82f70992025-01-07T11:05:02ZengGalenos Publishing HouseEuropean Journal of Breast Health2587-08312025-01-01211747910.4274/ejbh.galenos.2024.2024-9-2Rosai-Dorfman Disease Presenting With FDG-Avid Breast Masses and Axillary Lymph Nodes on PET-CT in a Patient With Recent Diagnosis of Endometrial Carcinoma: A Diagnostic DilemmaJennifer Kudja-Rennick0https://orcid.org/0009-0008-4714-8981Pai Raghav1https://orcid.org/0000-0003-0835-5589Cedric Pluguez-Turull2https://orcid.org/0000-0002-5227-4324Katherine Drews-Elger3https://orcid.org/0000-0001-9540-0610Cristina Hoyos4Miller School of Medicine, University of Miami, Miami, FL, USADepartment of Radiology, Miller School of Medicine, University of Miami, Miami, FL, USADepartment of Radiology, Miller School of Medicine, University of Miami, Miami, FL, USADepartment of Pathology, Miller School of Medicine, University of Miami, Miami, FL, USADepartment of Radiology, Miller School of Medicine, University of Miami, Miami, FL, USARosai-Dorfman disease (RDD) is a self-limited, idiopathic, non-neoplastic disorder characterized by the proliferation of phagocytic histiocytes, which can mimic malignant lymphoproliferative disease. Cases of RDD most commonly present as bilateral painless cervical lymphadenopathy, with lesser involvement of the axilla, inguinal, and mediastinal lymph nodes. We present the case of a 62-year-old woman with a history of endometrial serous carcinoma who underwent evaluation at a dedicated breast imaging department after positron emission tomography/computed tomography (PET/CT) revealed breast masses and axillary nodes with increased uptake of fluorodeoxyglucose (FDG). Upon clinical examination, she had bilateral palpable lumps in both breasts and axillae. Subsequent dedicated breast imaging with bilateral diagnostic mammography with tomosynthesis and bilateral complete breast ultrasound were suspicious for malignancy detecting bilateral breast masses and axillary lymphadenopathy corresponding to the FDG-avid findings on PET/CT. Ultrasound-guided core needle biopsies, however, revealed a diagnosis of RDD. This case highlights the unique characteristics of RDD with an atypical clinical presentation suspicious for breast cancer both clinically and radiologically.https://www.eurjbreasthealth.com/articles/rosai-dorfman-disease-presenting-with-fdg-avid-breast-masses-and-axillary-lymph-nodes-on-pet-ct-in-a-patient-with-recent-diagnosis-of-endometrial-carcinoma-a-diagnostic-dilemma/doi/ejbh.galenos.2024.2024-9-2endometrial carcinomaprimary breast canceraxillary lymphadenopathymammogramcore needle biopsy |
| spellingShingle | Jennifer Kudja-Rennick Pai Raghav Cedric Pluguez-Turull Katherine Drews-Elger Cristina Hoyos Rosai-Dorfman Disease Presenting With FDG-Avid Breast Masses and Axillary Lymph Nodes on PET-CT in a Patient With Recent Diagnosis of Endometrial Carcinoma: A Diagnostic Dilemma European Journal of Breast Health endometrial carcinoma primary breast cancer axillary lymphadenopathy mammogram core needle biopsy |
| title | Rosai-Dorfman Disease Presenting With FDG-Avid Breast Masses and Axillary Lymph Nodes on PET-CT in a Patient With Recent Diagnosis of Endometrial Carcinoma: A Diagnostic Dilemma |
| title_full | Rosai-Dorfman Disease Presenting With FDG-Avid Breast Masses and Axillary Lymph Nodes on PET-CT in a Patient With Recent Diagnosis of Endometrial Carcinoma: A Diagnostic Dilemma |
| title_fullStr | Rosai-Dorfman Disease Presenting With FDG-Avid Breast Masses and Axillary Lymph Nodes on PET-CT in a Patient With Recent Diagnosis of Endometrial Carcinoma: A Diagnostic Dilemma |
| title_full_unstemmed | Rosai-Dorfman Disease Presenting With FDG-Avid Breast Masses and Axillary Lymph Nodes on PET-CT in a Patient With Recent Diagnosis of Endometrial Carcinoma: A Diagnostic Dilemma |
| title_short | Rosai-Dorfman Disease Presenting With FDG-Avid Breast Masses and Axillary Lymph Nodes on PET-CT in a Patient With Recent Diagnosis of Endometrial Carcinoma: A Diagnostic Dilemma |
| title_sort | rosai dorfman disease presenting with fdg avid breast masses and axillary lymph nodes on pet ct in a patient with recent diagnosis of endometrial carcinoma a diagnostic dilemma |
| topic | endometrial carcinoma primary breast cancer axillary lymphadenopathy mammogram core needle biopsy |
| url | https://www.eurjbreasthealth.com/articles/rosai-dorfman-disease-presenting-with-fdg-avid-breast-masses-and-axillary-lymph-nodes-on-pet-ct-in-a-patient-with-recent-diagnosis-of-endometrial-carcinoma-a-diagnostic-dilemma/doi/ejbh.galenos.2024.2024-9-2 |
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