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Comprehensive evaluations of heat transfer performance with conjugate heat dissipation effect in high-speed rotating free-disk modeling of aero-engines
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作者 Aqiang Lin Gaowen Liu +2 位作者 Ran Chang Yan Chen Qing Feng 《Fundamental Research》 CAS CSCD 2024年第3期611-623,共13页
Thermal boundary conditions of the turbine disk cavity system are of great importance in the design of secondary air systems in aero-engines.This study aims to investigate the complex heat transfer mechanisms of a rot... Thermal boundary conditions of the turbine disk cavity system are of great importance in the design of secondary air systems in aero-engines.This study aims to investigate the complex heat transfer mechanisms of a rotating turbine disk under high-speed conditions.A high-speed rotating free-disk model with Dorfman empirical solutions is developed to evaluate the heat transfer performance considering various factors.Specifically,the influence of compressibility,variable properties,and heat dissipation is determined using theoretical and numerical analyses.In particular,a novel combined solution method is proposed to simplify the complex heat transfer problem.The results indicate that the heat transfer performance of a free disk is primarily influenced by the rotating Mach number,rotating Reynolds number,Rossby number,and wall temperature ratio.The heat transfer temperature and Nusselt number of the free disk are strongly correlated with the rotating Mach number and rotating Reynolds number.Analysis reveals that heat dissipation is a critical factor affecting the accurate evaluation of the heat transfer performance of the turbine disk.Thus,the combined solution method can serve as a reference for future investigations of flow and heat transfer in high-speed rotating turbine disk cavity systems in aero-engines. 展开更多
关键词 AERO-ENGINE Rotating turbine disk Dimensional analysis COMPRESSIBILITY Heat dissipation dorfman empirical solution
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Rosai Dorfman Destombes’s Disease about 5 Cases
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作者 Michel Assane Ndour Boundia Djiba +11 位作者 Baï di Sy Kane Pape Guirane Ndiaye Demba Diedhiou Mouhamed Dieng Barane Thiam Rosa Bampoky Muriel Diembou Atoumane Faye Maimouna Ndour Mbaye Anna Sarr Abdoulaye Pouye 《Open Journal of Internal Medicine》 2020年第2期212-222,共11页
Rosai Dorfman’s Disease (RDD) Destombes also called sinus histiocytosis with massive lymphadenopathy is a lymphoproliferative pathology usually benign, of unknown etiology, and of low incidence. It is a rare, but wel... Rosai Dorfman’s Disease (RDD) Destombes also called sinus histiocytosis with massive lymphadenopathy is a lymphoproliferative pathology usually benign, of unknown etiology, and of low incidence. It is a rare, but well-defined clinicopathological entity, which predominantly affects children and adolescents without distinction of gender or race. It manifests itself generally by bulky cervical lymphadenopathies, most often bilateral, painless, of benign but persistent evolution and a long-term fever associated with a non-specific biological inflammatory syndrome. Extra lymph node locations are described in association with lymph node involvement or isolation. The definitive diagnosis of Rosai Dorfman’s disease is histological, characterized by histiocytic infiltration with emperipolesis essentially of lymphocytes. The etiopathogenesis of the condition remains unclear, based on infectious and immunological hypotheses without clear evidence. The management is not well codified, it combines depending on the case, surgery;corticosteroids;antimetabolites and interferon alpha. Studies devoted to this condition in tropical Africa are rare. We report the clinical and progressive features of 5 observations of Rosai Dorfman’s disease. 展开更多
关键词 Rosai dorfman HISTIOCYTOSIS DAKAR
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Recurrent Bilateral Orbital Infiltration as Primary Manifestation of Rosai Dorfman Disease
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作者 Belinda Pustina Naser Salihu +2 位作者 Arben Rroji Gentian Kaloshi Mentor Petrela 《Open Journal of Ophthalmology》 2017年第3期225-229,共5页
Rosai Dorfman disease, also known as histiocytosis with massive lymphadenopathy, is a very rare idiopathic disease. It is characterized by over production and accumulation of non Langerhans sinus histiocyte most often... Rosai Dorfman disease, also known as histiocytosis with massive lymphadenopathy, is a very rare idiopathic disease. It is characterized by over production and accumulation of non Langerhans sinus histiocyte most often in lymph nodes, but may occur in other areas leading to organ damage. Based on the research, it can be caused by an infectious agent, immunodeficiency or autoimmunity and genetic causes. Extranodal manifestation is uncommon, however extranodal sites include liver, kidney, respiratory organs, orbit and eyeball. We present a case report of a 44-year-old female with recurrent bilateral orbital infiltration as first location of Rosai Dorfman disease. 展开更多
关键词 EXTRANODAL Rosai dorfman Genetic IMMUNODEFICIENCY HISTIOCYTOSIS with Massive LYMPHADENOPATHY Orbit Kidney
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A Class of Lie 2-Algebras in Higher-Order Courant Algebroids
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作者 Yanhui Bi Fengying Han Meili Sun 《Journal of Applied Mathematics and Physics》 2016年第7期1254-1259,共6页
In this paper, we study the relation of the algebraic properties of the higher-order Courant bracket and Dorfman bracket on the direct sum bundle TM⊕∧<sup>p</sup>T*M for an m-dimensional smooth mani... In this paper, we study the relation of the algebraic properties of the higher-order Courant bracket and Dorfman bracket on the direct sum bundle TM⊕∧<sup>p</sup>T*M for an m-dimensional smooth manifold M, and a Lie 2-algebra which is a “categorified” version of a Lie algebra. We prove that the higher-order Courant algebroids give rise to a semistrict Lie 2-algebra, and we prove that the higher-order Dorfman algebroids give rise to a hemistrict Lie 2-algebra. Consequently, there is an isomorphism from the higher-order Courant algebroids to the higher-order Dorfman algebroids as Lie 2-algebras homomorphism. 展开更多
关键词 Higher-Order Courant Algebroids Higher-Order dorfman Algebroids Lie 2-Algebra
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中枢神经系统Rosai Dorfman病1例报道
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作者 时少杰 王梅云 王帮庆 《中华实用诊断与治疗杂志》 2017年第6期592-593,共2页
1临床资料患者男性,36岁,以“头痛、头晕、多饮、多尿1a”为主诉于2016年6月21日入院。患者1a前无明显诱因出现头痛、头晕、多饮、多尿,无恶心、呕吐,无视力下降,就诊于当地医院,以“脑梗死”给予治疗(具体诊疗不详),效果欠佳,2016年6... 1临床资料患者男性,36岁,以“头痛、头晕、多饮、多尿1a”为主诉于2016年6月21日入院。患者1a前无明显诱因出现头痛、头晕、多饮、多尿,无恶心、呕吐,无视力下降,就诊于当地医院,以“脑梗死”给予治疗(具体诊疗不详),效果欠佳,2016年6月18日头颅MRI示鞍上池占位,颅咽管瘤可能大;腰部超声检查提示双肾积水。为进一步治疗来河南省人民医院就诊,以“ 展开更多
关键词 中枢神经系统 组织细胞 平扫 MRI 占位性病变 脑膜瘤 蛛网膜内皮瘤 神经组织肿瘤 Rosai dorfman 浆细胞肉芽肿 RDD 脑膜肿瘤 细胞聚集 均质高信号 淋巴细胞 白细胞 颅咽管瘤 拉克囊瘤
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伴有巨块性淋巴结肿大的窦组织细胞增生症(摘要)(简称SHML或称Rosai—Dorfman病)
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作者 李华仁 甘岫云 赵茜 《华南国防医学杂志》 CAS 1992年第4期478-479,共2页
伴有巨块性淋巴结肿大的窦组织细胞增生症(Sinus Histiocytosis With massive Lym-phad enopathy简称SHML)。自1969年Rosai-Dorfman首次报告4例以来,至1988年国外文献共报告了300余例,国内仅有8例。本文报告2例。SHML的特点是以其颈部... 伴有巨块性淋巴结肿大的窦组织细胞增生症(Sinus Histiocytosis With massive Lym-phad enopathy简称SHML)。自1969年Rosai-Dorfman首次报告4例以来,至1988年国外文献共报告了300余例,国内仅有8例。本文报告2例。SHML的特点是以其颈部无痛性淋巴结肿大为特点,常为双侧性。78%病例其它部位淋巴结可受累。28%—30%的病人伴有淋巴结外器官受侵犯。并有少数病例仅有淋巴结外孤立性病变为唯一表现。 展开更多
关键词 dorfman Rosai SHML 淋巴结肿大 淋巴结外 SINUS 组织细胞 淋巴结病变 肿大淋巴结 massive
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淋巴结外Rosai-Dorfman病7例临床病理分析 被引量:19
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作者 王蔚 陈晓东 +1 位作者 彭大云 杨磊 《临床与实验病理学杂志》 CAS CSCD 北大核心 2012年第4期406-409,414,共5页
目的探讨淋巴结外Rosai-Dorfman病(Rosai-Dorfman disease,RDD)的临床病理特征、诊断及鉴别诊断。方法对7例结外RDD患者进行HE染色和免疫组化检查,并复习相关文献。结果 7例结外RDD患者中男性4例,女性3例,年龄21~57岁(平均41岁),4例位... 目的探讨淋巴结外Rosai-Dorfman病(Rosai-Dorfman disease,RDD)的临床病理特征、诊断及鉴别诊断。方法对7例结外RDD患者进行HE染色和免疫组化检查,并复习相关文献。结果 7例结外RDD患者中男性4例,女性3例,年龄21~57岁(平均41岁),4例位于中枢神经系统,胫骨、甲状软骨和皮下组织各1例,均为结外单发病变。组织学改变:病变组织在低倍镜下呈大小不一的不规则结节样结构,结节内"明暗"相间。高倍镜下"暗区"为浸润的淋巴细胞、浆细胞等;"明区"是散在、成簇或片状分布的组织细胞。后者体积大,胞质丰富,泡状核,可见小核仁。部分组织细胞胞质内见吞噬完整的淋巴细胞和浆细胞等("伸入"现象)。免疫表型:组织细胞S-100蛋白和CD68均阳性,CD1a阴性。结论结外RDD少见,因组织细胞吞噬现象不明显且临床及影像学特征缺乏特异性,易被误诊。结节状分布的结构特点以及低倍镜下明暗相间的组织学特征是诊断RDD的重要线索。免疫组化标记有助于明确诊断。 展开更多
关键词 ROSAI-dorfman 淋巴结外 诊断 鉴别诊断
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鼻窦部结外Rosai-Dorfman病的诊治 被引量:18
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作者 雷磊 钟定荣 +1 位作者 王荣光 李向红 《解放军医学杂志》 CAS CSCD 北大核心 2003年第11期1017-1019,共3页
目的 探讨鼻窦部结外Rosai Dorfman病的临床表现、组织学特征、诊断、鉴别诊断及治疗。方法 分析国内罕见的发生于鼻窦的结外Rosai Dorfman病的临床、组织学和影像学资料。结果 病变位于鼻窦 ,曾先后多次复发、手术切除并病理误诊。... 目的 探讨鼻窦部结外Rosai Dorfman病的临床表现、组织学特征、诊断、鉴别诊断及治疗。方法 分析国内罕见的发生于鼻窦的结外Rosai Dorfman病的临床、组织学和影像学资料。结果 病变位于鼻窦 ,曾先后多次复发、手术切除并病理误诊。组织学分析可见大量梭形细胞混有泡沫细胞和少量浆细胞 ,胞质丰富呈泡沫样。免疫组化分析显示 ,组织细胞呈S 10 0和CD6 8阳性。结论 鼻窦部结外Rosai Dorfman病诊断困难 ,易误诊 ,临床应与鼻硬结病、嗜酸性肉芽肿、浆细胞瘤、良性纤维组织细胞瘤等进行鉴别 ,免疫组化细胞呈S 10 0、CD6 8阳性有助诊断。此病可采用化疗、放疗和手术治疗等综合治疗 ,对重要部位的病变侵犯 ,彻底的手术切除是最有效治疗方法 。 展开更多
关键词 ROSAI-dorfman 窦性组织细胞增生伴巨大淋巴增生症 鼻窦 鉴别诊断
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原发性颅内Rosai-Dorfman病 被引量:15
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作者 印洪林 周晓军 +2 位作者 卢光明 孙桂勤 孟奎 《临床与实验病理学杂志》 CAS CSCD 2004年第6期676-680,共5页
目的 探讨原发性颅内Rosai Dorfman病的临床病理特征。方法 对 1例术前经影像学诊断为原发性颅内脑膜肿瘤患者 ,复习病史和影像学资料 ,手术标本常规病理制片 ,组织学检查和免疫组织化学标记S 10 0蛋白、CD6 8、GFAP、CKpan、EMA、vim... 目的 探讨原发性颅内Rosai Dorfman病的临床病理特征。方法 对 1例术前经影像学诊断为原发性颅内脑膜肿瘤患者 ,复习病史和影像学资料 ,手术标本常规病理制片 ,组织学检查和免疫组织化学标记S 10 0蛋白、CD6 8、GFAP、CKpan、EMA、vimentin、CD2 0、CD79α、CD3和CD4 3,并复习文献。结果 患者为老年女性 ,MRI显示病变位于左侧颅顶部脑膜并累及脑实质 ,组织学显示多量淡染的组织细胞、浆细胞和淋巴细胞组成的背景伴纤维化 ,同时组织细胞内有多量吞噬的淋巴细胞 ,免疫标记显示组织细胞表达S 10 0蛋白和CD6 8。结论 原发于颅内Rosai Dorfman病是一种极其少见组织细胞异常增生性病变 ,病理诊断时需与颅内非特异性炎性病变和浆细胞肉芽肿等鉴别 ,该病变组织细胞S 10 0蛋白和CD6 展开更多
关键词 中枢神经系统疾病 ROSAI-dorfman 窦组织细胞增生伴巨淋巴结病 影像学 诊断
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结外Rosai-Dorfman病3例临床病理分析 被引量:13
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作者 朱岩 刘方舟 +2 位作者 范钦和 周志韶 宋国新 《诊断病理学杂志》 CSCD 2007年第5期336-338,共3页
目的探讨原发性淋巴结外Rosai-Dorfman病的临床病理学特征、诊断及鉴别诊断。方法分析3例结外Rosai-Dorfman病的临床特点,并行HE和免疫组化染色观察。结果3例中男性2例,女性1例,年龄13-63岁,均为多发性,病变位于中枢神经系统、涎腺及皮... 目的探讨原发性淋巴结外Rosai-Dorfman病的临床病理学特征、诊断及鉴别诊断。方法分析3例结外Rosai-Dorfman病的临床特点,并行HE和免疫组化染色观察。结果3例中男性2例,女性1例,年龄13-63岁,均为多发性,病变位于中枢神经系统、涎腺及皮肤。光镜下增生的组织细胞与浸润的淋巴细胞、浆细胞形成浅、深相间的结构特点,特征性的组织细胞体积巨大、胞质丰富,内见形态完整的淋巴细胞、浆细胞及中性粒细胞等,组织细胞表达S-100、CD68和Mac387。结论结外Rosai-Dorfman病是一种少见的组织细胞增生性病变,有特定的病理学特征,系统累及可能性较小,预后较好。组织学上应与Langerhans细胞组织细胞增生症、慢性炎症等病变鉴别。 展开更多
关键词 ROSAI-dorfman 免疫组化 诊断 鉴别
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耳鼻咽喉头颈部结外Rosai-Dorfman病临床病理特征 被引量:13
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作者 何小金 田澄 +2 位作者 杨冬梅 刘红刚 谢新纪 《临床与实验病理学杂志》 CAS CSCD 北大核心 2010年第4期456-459,共4页
目的探讨耳鼻咽喉头颈部结外Rosai-Dorfman病的临床病理学特征、诊断及鉴别诊断。方法收集北京同仁医院5例耳鼻咽喉头颈部结外Rosai-Dorfman病例,并行常规HE、组织化学和免疫组化染色。结果患者年龄37~72岁,平均49岁。5例中原发于喉2例... 目的探讨耳鼻咽喉头颈部结外Rosai-Dorfman病的临床病理学特征、诊断及鉴别诊断。方法收集北京同仁医院5例耳鼻咽喉头颈部结外Rosai-Dorfman病例,并行常规HE、组织化学和免疫组化染色。结果患者年龄37~72岁,平均49岁。5例中原发于喉2例,原发于鼻腔2例,原发于鼻翼皮肤1例。组织病理学特征:①低倍镜下为上呼吸道黏膜下或皮肤真皮内肿瘤细胞弥漫浸润,呈不同程度淡染区和深染区相间交错;②高倍镜下窦组织细胞增生,伴有不同程度其它慢性炎症细胞浸润,可见"伸入现象",病变特征不如结内病变明显;③免疫组化染色结果显示窦组织细胞S-100和CD68阳性,CD1a、CD20、CD45RO阴性。结论耳鼻咽喉头颈部发生的结外Rosai-Dorfman病是一种少见的组织细胞增生性疾病,有特定的组织病理学特征,在诊断上需要和该部位的其他肿瘤和炎性病变鉴别。 展开更多
关键词 ROSAI-dorfman 临床病理 鉴别诊断
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累及骨和软骨Rosai–Dorfman病2例报告并文献复习 被引量:13
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作者 王蔚 陈炳旭 +2 位作者 陈晓东 陈敬文 彭大云 《国际病理科学与临床杂志》 CAS 2012年第2期124-129,共6页
目的:探讨2例累及骨和软骨的结外罗道(Rosai–Dorfman)病的临床病理特征、诊断及鉴别诊断。方法:复习分别位于右胫骨近端及甲状软骨的2例Rosai–Dorfman病患者的临床和影像学资料,行组织学观察及免疫组织化学分析,并复习相关文献。结果... 目的:探讨2例累及骨和软骨的结外罗道(Rosai–Dorfman)病的临床病理特征、诊断及鉴别诊断。方法:复习分别位于右胫骨近端及甲状软骨的2例Rosai–Dorfman病患者的临床和影像学资料,行组织学观察及免疫组织化学分析,并复习相关文献。结果:39岁女性,右胫骨占位及38岁男性,甲状软骨肿物。影像学示前者右胫骨上段溶骨性骨质破坏;CT示后者甲状软骨前实性占位,与甲状软骨界限不清。光镜下前者病变在破碎骨小梁间生长,后者病变包绕并侵犯甲状软骨,并在软骨化骨骨小梁间侵袭性生长。低倍镜下组织细胞显著增生,与浸润的淋巴细胞、浆细胞形成明暗相间的结构,部分组织细胞体积较大,呈多边形或椭圆形;胞浆淡嗜酸性或空亮,泡状核,可见小核仁;部分胞浆内见吞噬完整的淋巴细胞和(或)浆细胞、中性粒细胞等。免疫组织化学标记组织细胞表达S–100蛋白和CD68,不表达CD1a。结论:累及骨和软骨的Rosai–Dorfman病罕见,临床及影像学检查均容易误诊。组织学形态及免疫组织化学检查是确诊的唯一依据。 展开更多
关键词 软骨 ROSAI-dorfman 诊断 鉴别诊断
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Rosai-Dorfman病研究进展 被引量:15
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作者 刘旭 胡余昌 唐立华 《中华病理学杂志》 CAS CSCD 北大核心 2017年第6期443-446,共4页
早在1966年Azoury[1]发现了一例不寻常的组织细胞增生病例,其镜下特点与组织细胞增生症又有所区别,当时他们把它考虑为"网状内皮组织细胞增生".Rosai和Dorfman[2]于1969年报道了4例具有独特临床和病理特点的病例,最先将其称为"窦性... 早在1966年Azoury[1]发现了一例不寻常的组织细胞增生病例,其镜下特点与组织细胞增生症又有所区别,当时他们把它考虑为"网状内皮组织细胞增生".Rosai和Dorfman[2]于1969年报道了4例具有独特临床和病理特点的病例,最先将其称为"窦性组织细胞增生伴巨大淋巴结病(sinus histiocytosis with massive lymphoadenopathy)",该4例患者皆为儿童,主要临床表现为大块状颈部淋巴结肿大、低热、白细胞增多和高丙种球蛋白血症,淋巴结肿大持续时间虽长,但呈良性经过. 展开更多
关键词 ROSAI-dorfman HISTIOCYTOSIS 组织细胞增生症 颈部淋巴结肿大 高丙种球蛋白血症 巨大淋巴结病 临床表现 白细胞增多
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中枢神经系统Rosai-Dorfman病的诊断 被引量:12
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作者 高翔 陈宏 +2 位作者 汪寅 钟平 江澄川 《中国临床神经科学》 2006年第3期259-262,共4页
目的:探讨中枢神经系统窦组织细胞增生症的诊断及治疗。方法:对我院收治的2例颅内窦组织细胞增生症病例的临床资料进行回顾性分析。结果:2例患者病灶分别位于左侧大脑镰旁和左侧中颅窝。术前CT,MRI诊断为脑膜瘤。手术全切肿块。术后病... 目的:探讨中枢神经系统窦组织细胞增生症的诊断及治疗。方法:对我院收治的2例颅内窦组织细胞增生症病例的临床资料进行回顾性分析。结果:2例患者病灶分别位于左侧大脑镰旁和左侧中颅窝。术前CT,MRI诊断为脑膜瘤。手术全切肿块。术后病理和免疫组化发现病变组织由大量淋巴细胞、浆细胞及S100和CD68标记阳性的组织细胞构成,并呈“明暗”相间的组织学特征,部分组织细胞内有吞噬淋巴细胞现象。结论:原发颅内窦组织细胞增生症少见,易被误诊,免疫组化检查有助于鉴别诊断。手术是治疗本病的主要手段。 展开更多
关键词 窦组织细胞增生症 中枢神经系统 ROSAI-dorfman
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皮肤窦组织细胞增生症伴巨大淋巴结病的研究进展 被引量:14
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作者 丁晓岚 张建中 《中国皮肤性病学杂志》 CAS 北大核心 2009年第11期760-762,共3页
窦组织细胞增生症伴巨大淋巴结病是一种病因不明的良性组织细胞增生性疾病,又称Rosai-Dorfman病。可累及多个器官,临床表现为发热、颈部淋巴结肿大、皮肤斑块、结节,伴有白细胞增多、高γ球蛋白血症、血沉增快。仅有皮肤损害,无其他器... 窦组织细胞增生症伴巨大淋巴结病是一种病因不明的良性组织细胞增生性疾病,又称Rosai-Dorfman病。可累及多个器官,临床表现为发热、颈部淋巴结肿大、皮肤斑块、结节,伴有白细胞增多、高γ球蛋白血症、血沉增快。仅有皮肤损害,无其他器官受累者称为皮肤Rosai-Dorfman病。皮损组织病理可见真皮大量组织细胞浸润,在组织细胞的胞浆内可见被吞噬的完整的淋巴细胞、嗜中性粒细胞等。部分患者皮疹可自行消退,治疗可采用手术切除、口服糖皮质激素、反应停、维甲酸等。 展开更多
关键词 窦组织细胞增生症伴巨大淋巴结病 皮肤
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Rosai-Dorfman disease of lung: a case report and review of the literatures 被引量:11
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作者 SHI Su-sheng SUN Yun-tian GUO Lei 《Chinese Medical Journal》 SCIE CAS CSCD 2009年第7期873-874,共2页
Rosai-Dorfman disease (RDD), also known as sinus histiocytosis with massive lymphadenopathy (SHML), is a rare benign entity of unknown etiology. Extranodal SHML (ESHML) may occur as part of a generalized process... Rosai-Dorfman disease (RDD), also known as sinus histiocytosis with massive lymphadenopathy (SHML), is a rare benign entity of unknown etiology. Extranodal SHML (ESHML) may occur as part of a generalized process involving lymph nodes or may involve extranodal sites independent of the lymph node status. Here we report a case with a Rosai-Dorfman disease of the lung and review the literature. 展开更多
关键词 Rosai-dorfman disease histiocytosis sinus LUNG
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A Study on Clinical Characteristics and Magnetic Resonance Imaging Manifestations on Systemic Rosai-Dorfman Disease 被引量:10
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作者 Xiao Cheng Jing-Liang Cheng An-Kang Gao 《Chinese Medical Journal》 SCIE CAS CSCD 2018年第4期440-447,共8页
Background: Rosai-Dorfman disease (RDD) is typically characterized by painless bilateral and symmetrical cervical lymphadenopathy, with associated fever and leukocytosis. The aim of the current study was to summari... Background: Rosai-Dorfman disease (RDD) is typically characterized by painless bilateral and symmetrical cervical lymphadenopathy, with associated fever and leukocytosis. The aim of the current study was to summarize the clinical features and imaging characteristics of RDD, in an effort to improve its diagnostic accuracy. Methods: The study was analyzed from 32 patients between January 2011 and December 2017; of these, 16 patients had pathologically diagnosed RDD, eight had pathologically diagnosed meningioma, and eight pathologically diagnosed lymphoma. All patients underwent computed tomography and magnetic resonance imaging (MRI). Clinical features and imaging characteristics of RDD were analyzed retrospectively. The mean apparent diffusion coefficient (ADC) values of lesions at different sites were measured, and one-way analysis of variance and the least significant difference t-test were used to compare the differences between groups and draw receiver operating characteristic curves. The tumors were excised for biopsy and analyzed using immunohistochemistry. Results: The mean ADCs were (0.81 ± 0.10) × 10^-3mm^2/s for intercranial RDD, (0.73 ± 0.05) × 10^-3mm^2/s for nasopharyngeal RDD, (0.74 ± 0.11) × 10^-3mm2/s for bone RDD, and (0.71 ± 0.04) × 10^-3mm2/s for soft-tissue RDD. The optimum ADC to distinguish intracranial RDD from lymphoma was 0.79 × 10^-3mm2/s (62.5% sensitivity and 100% specificity) and to distinguish meningioma from intracranial RDD was 0.92 × 10^-3mm^2/s (62.5% sensitivity and 100% specificity). Levels of C-reactive protein, erythrocyte sediment rate and D-dimer were significantly elevated (81%, 87%, and 75%, respectively). On immunohistochemistry, RDD was positive for both S-100 and CD68 proteins but negative for CD1a. Conclusions: Conventional MRI, combined with diffusion-weighted imaging and ADC mapping, is an important diagnostic tool in evaluating RDD patients. An accurate diagnosis of RDD should consider the clinical features, 展开更多
关键词 Apparent Diffusion Coefficient Clinical Feature Imaging Manifestation Magnetic Resonance Imaging Rosai-dorfman Disease
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多发性Rosai-Dorfman病七例临床病理分析 被引量:10
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作者 黄海建 陈小岩 郑智勇 《中华病理学杂志》 CAS CSCD 北大核心 2014年第10期690-694,共5页
目的 探讨多发性Rosai-Dorfman病(Rosai-Dorfman disease,RDD)的临床病理特征、诊断、鉴别诊断及预后.方法 对7例多发性RDD进行组织形态学、免疫组织化学及特殊染色检查,并随访及复习相关文献,进行总结分析.结果 7例病例中,女性3例,男... 目的 探讨多发性Rosai-Dorfman病(Rosai-Dorfman disease,RDD)的临床病理特征、诊断、鉴别诊断及预后.方法 对7例多发性RDD进行组织形态学、免疫组织化学及特殊染色检查,并随访及复习相关文献,进行总结分析.结果 7例病例中,女性3例,男性4例,年龄18 ~ 60岁(中位年龄45.7岁),肿块最大径0.8~6.0 cm(平均为3.0 cm).肿块分别位于:左手臂皮下、甲状腺、气管旁;左上颌皮下、右颊皮下;左胸壁皮下、右腹股沟皮下;双侧颈部皮下;有胫骨上段、右大腿皮肤;右额叶、大脑廉旁;双侧颈部淋巴结.其中例1~6均为淋巴结外组织,而例7为淋巴结.7例均表现为渐进性增大的肿块.病理组织学上,7例表现相似,呈细胞疏松区和密集区交替分布的结节状结构,细胞疏松区可见淋巴窦样结构,其间有一些体积较大、胞质丰富淡染的组织细胞,可见胞质内吞噬物和淋巴细胞“伸入运动”;细胞密集区可见较多淋巴细胞浆细胞、中性粒细胞等浸润.其中2例中可见散在淋巴滤泡浸润.免疫表型:组织细胞呈S-100蛋白、CD163及CD68阳性.结论 多发性RDD罕见,确诊主要依靠形态学及免疫组织化学标记,临床及病理均需与肉芽肿性疾病、IgG4相关的硬化性疾病、炎性肌纤维母细胞瘤、纤维组织细胞瘤、Langerhans细胞增生症等相鉴别,治疗以手术切除为主,预后较好. 展开更多
关键词 ROSAI-dorfman 诊断 鉴别 免疫组织化学
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Cutaneous Rosai-Dorfman disease presenting as a granulomatous rosacea-like rashs 被引量:9
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作者 SHI Xiu-yan MA Dong-lai FANG Kai 《Chinese Medical Journal》 SCIE CAS CSCD 2011年第5期793-794,共2页
A case of cutaneous Rosai-Dorfman disease (CRDD) presenting as a granulomatous rosacea-like rashs was reported. A 45-year-old Chinese woman presented with a 1-month history of a widespread nonpruiginous papulonodula... A case of cutaneous Rosai-Dorfman disease (CRDD) presenting as a granulomatous rosacea-like rashs was reported. A 45-year-old Chinese woman presented with a 1-month history of a widespread nonpruiginous papulonodular eruption. The rash had begun on her face and rapidly progressed to involve the neck and extremities. She was otherwise healthy, with no history of fever, malaise, or weight loss. Physical examination revealed multiple symmetrically distributed discrete and coalescing red plaques, papules and nodules scattered over the face, neck and extremities. No appreciable lymphadenopathy or hepatosplenomegaly was noted. There was no mucosal involvement. The biopsy specimen obtained from the face demonstrated the epidermis was normal, while the superficial dermis contained sheets of histiocytes with abundant, focally foamy cytoplasm. The histiocytes were surrounded by a patchy lymphocytic and plasma cell infiltrate. There was no significant histiocytic atypia. Some of these histiocytes engulfed, without destroying, lymphocytes and neutrophils (emperipolesis). Immunohistochemical staining revealed that the histiocytes were strongly positive for S100 protein, weakly positive for CD68, and negative for CDla. A diagnosis of CRDD was made. Oral prednisone therapy was initiated at a dosage of 30 mg/d for 3 weeks and then tapered over the ensuing 2 weeks. After 5 weeks of treatment, the lesions had markedly improved. 展开更多
关键词 Rosai-dorfman disease sinus histiocytosis with massive lymphadenopathy SKIN granulomatous rosacea
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原发性中枢神经系统Rosai—Dorfman病三例报告并文献复习 被引量:8
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作者 罗正祥 赵鹏来 +2 位作者 张岩松 刘翔 章文斌 《中华神经外科杂志》 CSCD 北大核心 2014年第1期59-62,共4页
目的总结原发于中枢神经系统中的Rosai—Dorfman病的临床特点,探讨其诊治方法及预后。方法结合文献回顾分析2010~2012年收治的3例原发于中枢神经系统中的Rosai—Dorfman病例临床特点、影像、病理学特点、治疗方案及预后。结果1例患者... 目的总结原发于中枢神经系统中的Rosai—Dorfman病的临床特点,探讨其诊治方法及预后。方法结合文献回顾分析2010~2012年收治的3例原发于中枢神经系统中的Rosai—Dorfman病例临床特点、影像、病理学特点、治疗方案及预后。结果1例患者颅内多发,最大病灶予以全切,其余分阶段予以类固醇及放射治疗,回访1年示手术病灶无复发,余病灶无明显改变;1例颅底多发且呈匍匐样生长,最大病灶部分切除,余病灶随访观察1年略增大;1例颅内单发,完整切除后回访2年无复发。结论原发于中枢神经系统中的Rosai—Dorfman病罕见,影像与脑膜瘤相似;病理特点是淋巴细胞和浆细胞伸入到体积较大胞浆丰富的组织细胞中;手术治疗为首选方案,类固醇及放射治疗疗效不确定。 展开更多
关键词 Rosai—dorfman 手术 类固醇 放射治疗 中枢神经系统
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