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Precursor B-cell lymphoblastic lymphoma presenting as an isolated external ear swelling in a two-year-old child
Adam M Zanation1, Charles S Ebert, Charles S Coffey
1Division of Pediatric Otolaryngology-Head and Neck Surgery, Department of Otolaryngology-Head and Neck Surgery, University of North Carolina at Chapel Hill, 27599-7070, USA.
Insights
Childhood lymphoma is rising, with head and neck cancers being common. This case highlights auricular mass as a rare, sole sign of B-cell non-Hodgkin
Area of Science:
- Pediatric Oncology
- Head and Neck Surgery
- Hematology-Oncology
Background:
- The incidence of childhood lymphoma is increasing in the U.S.
- Non-Hodgkin's lymphoma (NHL) commonly presents extranodally in the head and neck.
- Childhood cancers represent a significant public health concern.
Observation:
- A rare case of a child presenting with an auricular mass is detailed.
- This mass was the only presenting sign of B-cell non-Hodgkin's lymphoma.
- The lesion was located in the ear.
Findings:
- The case confirms B-cell non-Hodgkin's lymphoma can manifest solely as an auricular mass in children.
- Diagnostic challenges and management strategies for this rare presentation are discussed.
- Histopathological confirmation of B-cell NHL was achieved.
Implications:
- Otolaryngologists and pediatricians must consider non-Hodgkin's lymphoma in atypical pediatric head and neck lesions.
- Early recognition of extranodal NHL in the head and neck is crucial for timely intervention.
- This case broadens the understanding of extranodal NHL presentations in pediatric patients.
Abstract:
The incidence of lymphoma in children is increasing in the United States and is the third most common childhood cancer. The head and neck is second only to the abdomen as the most common site of extranodal presentations of non-Hodgkin's lymphoma (NHL). We present and discuss the diagnosis and management of the first report of a child with an auricular mass as the sole manifestation of B-cell non-Hodgkin's lymphoma. In summary, the otolaryngologist and pediatrician should be cognizant of potential for NHL in atypical lesions of the head and neck in children.