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Gray zone lymphomas in pediatric patients.

Xiayuan Liang1, Brian Greffe, Bruce Cook

  • 1Department of Pathology, The Children's Hospital, Aurora, CO, USA. liang.xiayuan@tchden.org

Pediatric and Developmental Pathology : the Official Journal of the Society for Pediatric Pathology and the Paediatric Pathology Society
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Gray zone lymphomas are rare lymphoid malignancies challenging to classify. This study reviews two pediatric cases, highlighting diagnostic challenges and treatment strategies for these difficult-to-diagnose cancers.

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Area of Science:

  • Hematology
  • Oncology
  • Pathology

Background:

  • Gray zone lymphomas are lymphoid malignancies unclassifiable into a single entity.
  • The 2008 WHO Classification identified two types: intermediate between diffuse large B-cell lymphoma (DLBCL) and Burkitt lymphoma, or DLBCL and classical Hodgkin lymphoma (cHL).

Observation:

  • These rare lymphomas pose diagnostic challenges, particularly in pediatric patients.
  • This manuscript reports two pediatric cases of gray zone lymphoma.

Findings:

  • The study reviews clinicopathologic features, treatment options, and outcomes for gray zone lymphoma.
  • Accurate diagnosis is crucial as it directly impacts patient management strategies.

Implications:

  • This review provides insights into the management of uncommon gray zone lymphomas in children.
  • Understanding these challenging cases can improve diagnostic accuracy and therapeutic approaches for pediatric lymphoid malignancies.