Jain Bela, Saini Vivek Kumar, Mishra Ayush, Ora Manish, Gambhir Sanjay
Department of Nuclear Medicine, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Indian J Nucl Med. 2022 Apr-Jun;37(2):175-177. doi: 10.4103/ijnm.ijnm_190_21. Epub 2022 Jul 8.
Lymphoblastic lymphoma (LBL) is the common non-Hodgkin lymphoma in childhood and adolescence. T-cell LBL (T-LBL) usually manifests with an anterior mediastinal mass and disseminated disease. We present a 12-year-old girl with progressive neck swelling and dyspnea for 1 year. Fluorodeoxyglucose positron-emission tomography/computed tomography done for pretreatment staging unveiled hypermetabolic lymph nodes on both sides of the diaphragm with splenic and bone marrow involvement. Apart from these, there was the extensive involvement of the left pleura. Biopsy and immunohistochemistry revealed T-LBL. The extensive secondary pleural involvement in pediatric T-LBL is rarely seen and needs to be reported.
淋巴母细胞淋巴瘤(LBL)是儿童和青少年常见的非霍奇金淋巴瘤。T细胞LBL(T-LBL)通常表现为前纵隔肿块和播散性疾病。我们报告一名12岁女孩,颈部进行性肿胀和呼吸困难1年。为进行预处理分期而进行的氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描显示,双侧膈肌淋巴结代谢增高,脾脏和骨髓受累。除此之外,左侧胸膜广泛受累。活检及免疫组化显示为T-LBL。小儿T-LBL广泛的继发性胸膜受累很少见,需要报告。