Bellaaj H, Moussa A, Gouiaa N, Maazoun K, Frikha I, Medhaffar M, Hdiji S, Elloumi M, Souissi T
Service d'hématologie du CHU Hedi chaker de Sfax, Tunisie.
Arch Pediatr. 2009 Jul;16(7):1016-20. doi: 10.1016/j.arcped.2009.02.022. Epub 2009 Apr 8.
The occurrence of an isolated ovarian or pelvic relapse of acute lymphoblastic leukemia (ALL) in complete remission after chemotherapy has rarely been described. We report the case of a 12-year-old girl, treated for ALL, who developed an isolated left ovarian and fallopian tube localization without medullary or blood relapse 4 years after the end of the initial treatment. She presented with an isolated pelvic mass. The diagnosis was established by a CT-guided biopsy. The treatment consisted of a second course of chemotherapy and complementary surgery; a second complete remission was obtained.
