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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1995-3-28
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pubmed:abstractText |
This is a retrospective analysis of a 29-year institutional experience with Langerhans' cell histiocytosis (LCH) in children. Cases of LCH were categorized by disease extent into three groups: group 1, with a solitary focus of LCH; group 2, with multiple non-vital organ foci; and group 3, with vital organ disease. Sixteen patients averaging 7.3 years of age and with 11.0 years of follow-up presented in group 1. One child experienced a spontaneous remission; all other children responded to local treatment. The skull was the most common site of involvement. Eight children averaging 4.6 years in age and with 8.0 years of follow-up presented in group 2; 3 children had diabetes insipidus. Treatment included radical surgery, radiotherapy, and chemotherapy; however, disease persisted in all patients. Iatrogenic complications were a significant cause of morbidity and mortality. Only 1 patient, 1 year of age, presented with lung and liver involvement (group 3). He died after a fulminant course. Current recommendations for diagnosis, evaluation, and treatment of LCH are discussed.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0003-4894
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
104
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
173-80
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pubmed:dateRevised |
2006-5-15
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pubmed:meshHeading |
pubmed-meshheading:7872599-Adolescent,
pubmed-meshheading:7872599-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:7872599-Child,
pubmed-meshheading:7872599-Child, Preschool,
pubmed-meshheading:7872599-Combined Modality Therapy,
pubmed-meshheading:7872599-Female,
pubmed-meshheading:7872599-Histiocytosis, Langerhans-Cell,
pubmed-meshheading:7872599-Humans,
pubmed-meshheading:7872599-Infant,
pubmed-meshheading:7872599-Male,
pubmed-meshheading:7872599-Remission, Spontaneous,
pubmed-meshheading:7872599-Retrospective Studies,
pubmed-meshheading:7872599-Skull,
pubmed-meshheading:7872599-Treatment Outcome
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pubmed:year |
1995
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pubmed:articleTitle |
Langerhans' cell histiocytosis of the head and neck in children.
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pubmed:affiliation |
Department of Otolaryngology-Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City 52242.
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pubmed:publicationType |
Journal Article
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