Extensive Pleural Involvement in Pediatric T-Cell Lymphoblastic Lymphoma

Bela Jain; Vivek Kumar Saini; Ayush Mishra; Manish Ora; Sanjay Gambhir

doi:10.4103/ijnm.ijnm_190_21

Extensive Pleural Involvement in Pediatric T-Cell Lymphoblastic Lymphoma

Indian J Nucl Med. 2022 Apr-Jun;37(2):175-177. doi: 10.4103/ijnm.ijnm_190_21. Epub 2022 Jul 8.

Authors

Bela Jain¹, Vivek Kumar Saini¹, Ayush Mishra¹, Manish Ora¹, Sanjay Gambhir¹

Affiliation

¹ Department of Nuclear Medicine, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Abstract

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.

Keywords: Fluorodeoxyglucose positron-emission tomography/computed tomography; Pediatric non-Hodgkin lymphoma; T-cell lymphoblastic lymphoma; pleural lymphoma.

Publication types

Case Reports