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Pediatric T-cell Lymphoblastic Leukemia/Lymphoma Diagnosed at Routine Adenoidectomy Specimen
İlke Kara1,2, Saime Ramadan3, Evrim Şenkal4
1Faculty of Medicine, Bahçeşehir University, Istanbul, Turkey.
International Journal of Surgical Pathology
|December 8, 2022
Summary
Routine pathology of tonsillectomy and adenoidectomy rarely finds cancer. This case report highlights diagnosing T-cell lymphoblastic leukemia/lymphoma in a child with severe airway obstruction, emphasizing careful pathological review.
Area of Science:
- Pediatric Otolaryngology
- Pediatric Hematology-Oncology
- Surgical Pathology
Background:
- Routine pathologic evaluation of tonsillectomy and adenoidectomy specimens seldom yields malignant diagnoses.
- This case report addresses a rare instance of malignancy discovered post-surgery.
Observation:
- A 4-year-old boy with sleep-disordered breathing and recurrent tonsillitis underwent adenoidectomy and tonsillectomy.
- Histologic examination revealed T-cell lymphoblastic leukemia/lymphoma in the adenoid specimen, which was severely hypertrophic (MAGS Grade 4).
Findings:
- The patient was diagnosed with T-cell lymphoblastic leukemia/lymphoma.
- The child recovered fully following appropriate treatment.
Implications:
- There is no consensus on routine pathological evaluation for all tonsillectomy and adenoidectomy cases.
- A precautionary approach recommends pathological examination for cases with unusual intraoperative findings or clinical suspicion of malignancy.
