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Precursor B cell lymphoblastic lymphoma presenting as periorbital swelling
Niamh Galway1, Robert Johnston2, Carole Cairns2
1Royal Belfast Hospital for Sick Children, Belfast, UK.
BMJ Case Reports
|May 12, 2016
Summary
A young girl presented with swelling and headache, found to have B cell lymphoblastic lymphoma. Early diagnosis and treatment via the UKALL 2011 chemotherapy trial were initiated.
Area of Science:
- Pediatric Oncology
- Ophthalmology
- Hematology
Background:
- B cell lymphoblastic lymphoma is a rare and aggressive form of non-Hodgkin lymphoma.
- Orbital and periorbital swelling can be presenting symptoms of systemic disease in children.
Observation:
- An 11-year-old girl presented with bilateral papilledema, periorbital swelling, headache, and unilateral groin swelling.
- Imaging revealed soft tissue masses in the orbits and extensive lymphadenopathy.
- Bone marrow studies were normal, but lymph node biopsy confirmed B cell lymphoblastic lymphoma.
Findings:
- Histological confirmation of B cell lymphoblastic lymphoma.
- Absence of bone marrow involvement at diagnosis.
- Extensive lymphadenopathy detected above and below the diaphragm.
Implications:
- Highlights the importance of thorough investigation for orbital and systemic symptoms in pediatric patients.
- Underscores the role of imaging and biopsy in diagnosing rare pediatric malignancies.
- Emphasizes prompt initiation of chemotherapy through clinical trials for improved outcomes.
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