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Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
Published on: December 20, 2024
Primary splenic lymphoma in a child
1Department of Pediatric Medicine, Chang Gung Children's Hospital, Taoyuan, Taiwan.
Acta Paediatrica Taiwanica = Taiwan Er Ke Yi Xue Hui Za Zhi
|July 27, 2000
Summary
Primary splenic lymphoma, a rare cause of enlarged spleen, was diagnosed in a 10-year-old boy. This case highlights the importance of considering this rare pediatric cancer, with the patient remaining disease-free after treatment.
Area of Science:
- Pediatric Oncology
- Hematology
- Surgical Oncology
Background:
- Primary splenic lymphoma is an uncommon malignancy, accounting for less than 1% of non-Hodgkin lymphoma cases.
- Splenomegaly can be caused by various conditions, making the diagnosis of primary splenic lymphoma challenging.
Observation:
- A 10-year-old boy presented with a large splenic mass discovered incidentally after abdominal trauma.
- The mass was diagnosed as diffuse large cell lymphoma confined to the spleen.
Findings:
- Surgical resection followed by adjuvant chemotherapy led to a complete remission.
- The patient has remained disease-free for 3 years post-diagnosis and treatment.
Implications:
- This case underscores the importance of considering rare diagnoses like primary splenic lymphoma in pediatric patients with splenomegaly.
- Early diagnosis and multimodal treatment, including surgery and chemotherapy, can lead to favorable outcomes in pediatric splenic lymphoma.
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