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Langerhans cell histiocytosis with thyroid involvement in a 3 year-old child - a case report
Pantea Tajik1, Shiva Nazari, Hazhir Javaherizadeh
1Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Insights
Langerhans cell histiocytosis (LCH) rarely affects the thyroid. This case highlights LCH as a rare cause of neck masses in children, emphasizing the need for pulmonary evaluation.
Area of Science:
- Pediatric Endocrinology
- Oncology
- Histiocytic Disorders
Background:
- Langerhans cell histiocytosis (LCH) is a rare clonal proliferative disorder of specific dendritic cells.
- While LCH can affect multiple organ systems, primary thyroid involvement is exceptionally uncommon.
Observation:
- This report details an extremely rare case of LCH primarily involving the thyroid gland in a 3-year-old boy.
- The child presented with a persistent neck mass over several weeks.
Findings:
- The case underscores that LCH should be considered in the differential diagnosis of pediatric thyroid masses.
- Thyroid LCH represents a rare but significant presentation of this histiocytic disease.
Implications:
- Early consideration of LCH in children with thyroid masses is crucial for timely diagnosis and management.
- Pulmonary examinations are recommended for patients diagnosed with thyroid LCH due to potential systemic involvement.
Abstract:
Langerhans cell histiocytosis (LCH), a monoclonal disease of histiocytes, may involve several organ systems but rarely primarily involves the thyroid gland. This report presents an extremely rare case of LCH of the thyroid in a 3-year-old boy who presented with a neck mass for several weeks. LCH of the thyroid should be considered in the differential diagnosis of a child with a thyroid mass. Pulmonary examination should be done in these patients.
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