Zhou Haiying, Xie Fusui, Zhou Luyao, Liu Lei
Department of Ultrasound, Shenzhen Children's Hospital, Shenzhen, 518038, China.
Pediatr Radiol. 2025 Jul;55(8):1755-1760. doi: 10.1007/s00247-025-06283-6. Epub 2025 Jun 7.
Subcutaneous panniculitis-like T-cell lymphoma is a distinct entity of cutaneous malignant lymphoma. We report an atypical presentation of subcutaneous panniculitis-like T-cell lymphoma in a 3-month-old infant, incidentally diagnosed with a right chest wall mass devoid of ulceration, tenderness, or systemic symptoms (fever). Due to unresectability, the child underwent five cycles of chemotherapy. This rare case highlights the importance of considering subcutaneous panniculitis-like T-cell lymphoma in young patients with image findings suggestive of subcutaneous fat involvement. Timely diagnosis via recognition and biopsy is paramount for guiding management strategies.
皮下脂膜炎样T细胞淋巴瘤是皮肤恶性淋巴瘤的一种独特类型。我们报告了一例3个月大婴儿的皮下脂膜炎样T细胞淋巴瘤的非典型表现,该患儿偶然被诊断为右胸壁肿块,无溃疡、压痛或全身症状(发热)。由于无法切除,该患儿接受了五个周期的化疗。这个罕见病例凸显了在具有提示皮下脂肪受累影像学表现的年轻患者中考虑皮下脂膜炎样T细胞淋巴瘤的重要性。通过识别和活检及时诊断对于指导治疗策略至关重要。