Öz
Lymphomatous involvement of the ileum is rare and vey rarer is its presentation as appendicitis. Non-Hodgkin lymphoma is a high grade neoplasm. Lymphoblastic lymphoma is a common subtype of non-Hodgkin's lymphoma in childhood, accounts for approximately 30% of cases and typically presents as abdominal mass in children. This rapidly growing tumor may cause symptoms due to mass effect or direct involvement of the intestine. Clinical presentations like acute abdomen can be secondary to intestinal obstruction, intussusceptions or even sometimes perforation. We describe, here a case of a boy with an unusual presentation of Non-Hodgkin lymphoma mimicking acute appendicitis. Especially in patients with recurrent abdominal pain, the opinion of abdominal tomography evaluation is very useful.
Anahtar Kelimeler
Kaynakça
- Cancer in children (ages 0-14 and ages 0-19). In: Horner MJ, Ries LAG, Krapcho M, eds. SEER Cancer Statistics Review, 1975-2006. Bethesda, Md: National Cancer Institute; 2008
- C. Hoyoux, P. Forget, C. Piette, et al., “Paravertebral Burkitt's Lymphoma in a Child: An Unusual Presentation,” Case Reports in Medicine, vol. 2012, Article ID 891714, 4 pages, 2012. doi:10.1155/2012/891714
- M. S. Cairo, R. Sposto, S. L. Perkins et al., “Burkitt's and Burkitt-like lymphoma in children and adolescents: a review of the children's cancer group experience,” British Journal of Haematology, vol. 120, no. 4, pp. 660–670, 2003.
- Ghimire P, Wu GY, Zhu L. Primary gastrointestinal lymphoma. World J Gastroenterol. 2011 Feb 14;17(6):697-707. doi: 10.3748/wjg.v17.i6.697.
- Pasquale MD, Shabahang M, Bitterman P, et al., Primary lymphoma of the appendix. Case report and review of the literature. Surg Oncol. 1994 Aug;3(4):243-248.
- O’Donnell ME, Badger SA, Beattie GC, Carson J, Garstin WIH: Malignant neoplasms of the appendix. Int J Colorectal Dis 2007, 22:1239–1248.
- Biko DM, Anupindi SA, Hernandez A, Kersun L, Bellah R. Childhood Burkitt lymphoma: abdominal and pelvic imaging findings. AJR Am J Roentgenol 2009; 192: 1304-1315
- Engels EA. Infectious agents as causes of non-Hodgkin lymphoma. Cancer Epidemiol Biomarkers Prev. 2007;16:401–404.
- Viswanathan, S., George, S., Ramadwar, M., Medhi, S., Arora, B., & 9. Kurkure, P. (2010). Evaluation of pediatric abdominal masses by fine‐needle aspiration cytology: A clinicoradiologic approach. Diagnostic Cytopathology, 38(1), 15-27.
- Cancer in children (ages 0-14 and ages 0-19). In: Horner MJ, Ries LAG, Krapcho M, eds. SEER Cancer Statistics Review, 1975-2006. Bethesda, Md: National Cancer Institute; 2008
Öz
İleumun lenfomatöz tutulumu nadirdir ve daha nadiri de apandisit olarak tanı konulmasıdır. Non-hodgkin lenfoma bir yüksek dereceli tümörlerdir. Lenfoblastik lenfoma, çocukluk dönemindeki non-Hodgkin lenfomaların en sık görülen alt tiplerinden biridir ve vakaların yaklaşık % 30 ünü kapsar. Genellikle çocuklarda karında kitle şeklinde ortaya çıkar. Bu hızla büyüyen tümör, kitle etkisi veya doğrudan bağırsak tutulumuna bağlı belirtilere neden olabilir. Kliniği akut karını taklit ederek bağırsak tıkanıklığı, invajinasyon veya bazen perforasyon şeklinde olabilir. Biz burada alışılmadık bir şekilde apandisiti taklit eden ileumun non-hodgkin lenfomalı bir erkek çocuk olgu sunmak istedik. Özellikle tekrarlayan karın ağrısı olan olgularda karın tomografisi ile değerlendirmenin çok faydalı olduğu kanısındayız.
Anahtar Kelimeler
Kaynakça
- Cancer in children (ages 0-14 and ages 0-19). In: Horner MJ, Ries LAG, Krapcho M, eds. SEER Cancer Statistics Review, 1975-2006. Bethesda, Md: National Cancer Institute; 2008
- C. Hoyoux, P. Forget, C. Piette, et al., “Paravertebral Burkitt's Lymphoma in a Child: An Unusual Presentation,” Case Reports in Medicine, vol. 2012, Article ID 891714, 4 pages, 2012. doi:10.1155/2012/891714
- M. S. Cairo, R. Sposto, S. L. Perkins et al., “Burkitt's and Burkitt-like lymphoma in children and adolescents: a review of the children's cancer group experience,” British Journal of Haematology, vol. 120, no. 4, pp. 660–670, 2003.
- Ghimire P, Wu GY, Zhu L. Primary gastrointestinal lymphoma. World J Gastroenterol. 2011 Feb 14;17(6):697-707. doi: 10.3748/wjg.v17.i6.697.
- Pasquale MD, Shabahang M, Bitterman P, et al., Primary lymphoma of the appendix. Case report and review of the literature. Surg Oncol. 1994 Aug;3(4):243-248.
- O’Donnell ME, Badger SA, Beattie GC, Carson J, Garstin WIH: Malignant neoplasms of the appendix. Int J Colorectal Dis 2007, 22:1239–1248.
- Biko DM, Anupindi SA, Hernandez A, Kersun L, Bellah R. Childhood Burkitt lymphoma: abdominal and pelvic imaging findings. AJR Am J Roentgenol 2009; 192: 1304-1315
- Engels EA. Infectious agents as causes of non-Hodgkin lymphoma. Cancer Epidemiol Biomarkers Prev. 2007;16:401–404.
- Viswanathan, S., George, S., Ramadwar, M., Medhi, S., Arora, B., & 9. Kurkure, P. (2010). Evaluation of pediatric abdominal masses by fine‐needle aspiration cytology: A clinicoradiologic approach. Diagnostic Cytopathology, 38(1), 15-27.
- Cancer in children (ages 0-14 and ages 0-19). In: Horner MJ, Ries LAG, Krapcho M, eds. SEER Cancer Statistics Review, 1975-2006. Bethesda, Md: National Cancer Institute; 2008
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 8 Eylül 2014 |
| Yayımlandığı Sayı | Yıl 2014 Cilt: 4 Sayı: 2 EK |