Isolated central nervous system relapse in a child with non- Hodgkin lymphoma during treatment

Isolated central nervous system (CNS) relapse of non-Hodgkin lymphoma (NHL) is very rare. We report a five-year-old boy with T-cell lymphoblastic lymphoma (T-LBL), who developed CNS relapse under treatment when the primary tumor was in complete remission. The patient presented initially with...

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Main Authors: Rejin Kebudi, Gülen Tüysüz, Öner Doğan, Nihal Özdemir
Format: Article
Language:English
Published: Hacettepe University Institute of Child Health 2014-02-01
Series:The Turkish Journal of Pediatrics
Online Access:https://turkjpediatr.org/article/view/1320
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author Rejin Kebudi
Gülen Tüysüz
Öner Doğan
Nihal Özdemir
author_facet Rejin Kebudi
Gülen Tüysüz
Öner Doğan
Nihal Özdemir
author_sort Rejin Kebudi
collection DOAJ
description Isolated central nervous system (CNS) relapse of non-Hodgkin lymphoma (NHL) is very rare. We report a five-year-old boy with T-cell lymphoblastic lymphoma (T-LBL), who developed CNS relapse under treatment when the primary tumor was in complete remission. The patient presented initially with persistent cough and an anterior mediastinal mass and had no bone marrow or CNS involvement at diagnosis. During re-induction treatment, a routine lumbar puncture revealed blasts in the cerebrospinal fluid (CSF). The patient developed neurological signs and symptoms consequently. Craniospinal radiotherapy followed by BFM (Berlin-Frankfurt-Münster) high-risk chemotherapy protocol was initiated. Despite complete response after three courses, the patient experienced CNS relapse and expired due to disease progression. In the treatment of a NHL patient, routine CSF analysis should be done for tumor cells even when the primary disease is in complete remission.
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issn 0041-4301
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language English
publishDate 2014-02-01
publisher Hacettepe University Institute of Child Health
record_format Article
series The Turkish Journal of Pediatrics
spelling doaj-art-283aa7de577a428eb140fe9db1ee0ca72025-08-20T02:01:53ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212014-02-01561Isolated central nervous system relapse in a child with non- Hodgkin lymphoma during treatmentRejin Kebudi0Gülen TüysüzÖner DoğanNihal ÖzdemirDepartment of Pediatric Hematology-Oncology, Institute of Oncology, İstanbul University Cerrahpaşa Faculty of Medicine, İstanbul, Turkey. gulentuysuz@hotmail.com. Isolated central nervous system (CNS) relapse of non-Hodgkin lymphoma (NHL) is very rare. We report a five-year-old boy with T-cell lymphoblastic lymphoma (T-LBL), who developed CNS relapse under treatment when the primary tumor was in complete remission. The patient presented initially with persistent cough and an anterior mediastinal mass and had no bone marrow or CNS involvement at diagnosis. During re-induction treatment, a routine lumbar puncture revealed blasts in the cerebrospinal fluid (CSF). The patient developed neurological signs and symptoms consequently. Craniospinal radiotherapy followed by BFM (Berlin-Frankfurt-Münster) high-risk chemotherapy protocol was initiated. Despite complete response after three courses, the patient experienced CNS relapse and expired due to disease progression. In the treatment of a NHL patient, routine CSF analysis should be done for tumor cells even when the primary disease is in complete remission. https://turkjpediatr.org/article/view/1320
spellingShingle Rejin Kebudi
Gülen Tüysüz
Öner Doğan
Nihal Özdemir
Isolated central nervous system relapse in a child with non- Hodgkin lymphoma during treatment
The Turkish Journal of Pediatrics
title Isolated central nervous system relapse in a child with non- Hodgkin lymphoma during treatment
title_full Isolated central nervous system relapse in a child with non- Hodgkin lymphoma during treatment
title_fullStr Isolated central nervous system relapse in a child with non- Hodgkin lymphoma during treatment
title_full_unstemmed Isolated central nervous system relapse in a child with non- Hodgkin lymphoma during treatment
title_short Isolated central nervous system relapse in a child with non- Hodgkin lymphoma during treatment
title_sort isolated central nervous system relapse in a child with non hodgkin lymphoma during treatment
url https://turkjpediatr.org/article/view/1320
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AT gulentuysuz isolatedcentralnervoussystemrelapseinachildwithnonhodgkinlymphomaduringtreatment
AT onerdogan isolatedcentralnervoussystemrelapseinachildwithnonhodgkinlymphomaduringtreatment
AT nihalozdemir isolatedcentralnervoussystemrelapseinachildwithnonhodgkinlymphomaduringtreatment