%0 Journal Article %T Rosai-Dorfman Disease Presenting as Massive Mediastinal Lymphadenopathy in an Elderly Man. %A Maniar YM %A Meyer CF %A Sharp M %A Zambidis ET %A Qaysi NAI %A Horne AJ %J Ann Intern Med Clin Cases %V 1 %N 8 %D Oct 2022 %M 36683654 暂无%R 10.7326/aimcc.2022.0539 %X We present a patient case of a 73-year-old man with new-onset substernal chest pain and B symptoms, found on computed tomography imaging to have massive mediastinal lymphadenopathy of more than 6 cm. Positron emission tomography imaging revealed fluorodeoxyglucose-avid nodes further extending to the axillary, abdominal, and inguinal regions. After a broad patient work-up for infectious, malignant, and rheumatic causes, he was ultimately diagnosed with Rosai-Dorfman disease, a rare histiocytic neoplasm, by excisional lymph node biopsy.