Sari Neriman, Okur Nurettin, Uçmak Gulin, Ilhan Inci Ergürhan
Department of Pediatric Hematology and Oncology, Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Ankara, Turkey.
Department of Nuclear Medicine, Hitit University, Faculty of Medicine, Çorum Training and Research Hospital and Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Ankara, Turkey.
J Trop Pediatr. 2017 Apr 1;63(2):160-162. doi: 10.1093/tropej/fmw065.
We report a 16-year-old male patient diagnosed with paratesticular rhabdomyosarcoma and mediastinal tuberculous lymphadenitis. The differential diagnosis between high or early stage of rhabdomyosarcoma and tuberculosis (TB) was critical in this patient without a history of TB. Unexpected lymphadenopathies detected during the staging of patients with malignancy should be carefully evaluated, and TB should be taken into consideration in the differential diagnosis especially in underdeveloped and developing countries. Unnecessary additional treatments increase the rate of mortality and morbidity because of upstaging of cancer. Further, TB reactivation can be seen during chemotherapy because of immunosuppression.
我们报告了一名16岁男性患者,他被诊断为睾丸旁横纹肌肉瘤和纵隔结核性淋巴结炎。对于该无结核病病史的患者,横纹肌肉瘤的高分期或早期与结核病之间的鉴别诊断至关重要。在恶性肿瘤患者分期过程中检测到的意外淋巴结病应仔细评估,在鉴别诊断中应考虑结核病,尤其是在不发达国家和发展中国家。不必要的额外治疗会因癌症分期提高而增加死亡率和发病率。此外,化疗期间由于免疫抑制可能会出现结核复发。