Table 2.
A brief review of previously reported literature on management outcomes of Langerhans cell histiocytosis (LCH)
| Study | No. of cases | Mean age (years) | MC presenting complaint | IHC | Management | Mean treatment duration | Mean follow-up | Recurrence |
|---|---|---|---|---|---|---|---|---|
| Harris et al.,[4] 2003 | 7 | NA | NA | NA | Surgery RT (2) Curettage + ILS (4) Curettage (1) | NA | 11.7 months | Nil |
| Cheung et al.,[11] 2006 | 3 | 27 | Orbital pain, swelling | S-100, CD1a (2), CD 1a (1) | Surgery (1) Surgery + RT (2) | NA | 2.1 years | Nil |
| Das et al.,[19] 2009 | 3 | 6 | Periocular swelling | S 100 + | Curettage + RT (1) Curettage + RT + CT - (1) Biopsy + CT + oral steroids (1) | NA | 4.5 years | Nil |
| Herwig et al.,[8] 2013 | 5 | 4.3 | Trauma, Periocular swelling | S 100 (1), S 100, CD 1a (2) | Surgery (1), Surgery + CT (4) | 7.25 months | 5.3 years | Nil |
| Esmaili et al.,[20] 2016 | 6 | 2.8 | Periocular swelling | CD 1a+ | Surgery (1) Curettage + ILS (1) Curettage + ILS + CT (3) Curettage + CT + BMT (1) | 29.3 weeks | 65.5 months | 1 case |
| Singh et al.,[22] 2016 | 8 | 8 | Upper lid swelling | S100, CD 1a, CD 68+ | Curettage + ILS (4) Incisional biopsy + ILS (4) | NA | 30 months | Nil |
| Present study | 9 | 10.1 | Lid swelling, Prominence of eyes | S 100, CD 1 a + | Surgery (2) Surgery + steroids (3) Surgery + CT (4) | 3.85 months | 17.85 months | Nil |
MC: Most common; IHC: Immunohistochemistry; NA: Not available; RT: Radiotherapy; CT: Chemotherapy; ILS: Intralesional steroid; BMT: Bone marrow transplantation