Evidence map›Paper›PMID 42404218›Full record

ArticleFrontiers in oncology2026

Long-term management of orbital Rosai-Dorfman disease with re-irradiation for locoregional recurrence: a case report.

Sanjay Arvind Krishna, Anoop Remesan Nair, Hema Ashok Perumal, Malini Eapen, Pushpaja Kuttassery Ullattil, Debnarayan Dutta

Abstract readCase Reports
In one paragraph

Article in Frontiers in oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

6 authors.

Sanjay Arvind KrishnaDepartment of Radiation Oncology, Amrita Institute of Medical Sciences and Research, Amrita Vishwa Vidyapeetham, Kochi, India.
Anoop Remesan NairDepartment of Radiation Oncology, Amrita Institute of Medical Sciences and Research, Amrita Vishwa Vidyapeetham, Kochi, India.
Hema Ashok PerumalDepartment of Radiation Oncology, Amrita Institute of Medical Sciences and Research, Amrita Vishwa Vidyapeetham, Kochi, India.
Malini EapenDepartment of Pathology, Amrita Institute of Medical Sciences and Research, Amrita Vishwa Vidyapeetham, Kochi, India.
Pushpaja Kuttassery UllattilDepartment of Radiation Oncology, Amrita Institute of Medical Sciences and Research, Amrita Vishwa Vidyapeetham, Kochi, India.
Debnarayan DuttaDepartment of Pathology, Amrita Institute of Medical Sciences and Research, Amrita Vishwa Vidyapeetham, Kochi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Rosai-Dorfman-Destombes disease (RDD) is a rare non-Langerhans histiocytic disorder with occasional extranodal involvement. Orbital disease can mimic neoplastic or inflammatory conditions, leading to diagnostic and therapeutic challenges. Standardized management strategies remain undefined. Aim: To describe the diagnostic complexity and therapeutic role of radiation therapy, including re-irradiation, in orbital RDD. Case presentation: A 58-year-old male presented with nasal obstruction, later progressing to orbital involvement. Histopathology confirmed RDD (S100+, CD68+, CD1a-). Initial corticosteroid therapy provided partial relief. Image-guided radiotherapy (36 Gy in 20 fractions) achieved complete remission for five years. On recurrence with proptosis and compressive optic neuropathy, re-irradiation (24 Gy in 12 fractions) was delivered after careful review of prior dose constraints. The patient demonstrated improved visual acuity (6/60 to 6/36), stable MRI findings, and no late radiation toxicity at two-year follow-up. Conclusion: This case highlights the feasibility and efficacy of radiation therapy, including re-irradiation, in orbital RDD when medical management fails. Re-irradiation achieved durable local control, preserved visual function, and adds to the limited evidence supporting its role in recurrent disease.

Indexed as

case reportoptic neuropathyorbital diseasesradiotherapyre-irradiationRosai–Dorfman disease

Identifiers

PMID42404218
PMCPMC13329148

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