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Pediatr Int. 2016 Apr;58(4):304-7. doi: 10.1111/ped.12807. Epub 2015 Dec 16.

Unusual childhood presentations of abdominal non-Hodgkin's lymphoma.

Pediatrics international : official journal of the Japan Pediatric Society

Robert W Foley, Olubenga M Aworanti, Laura Gorman, Brianan McGovern, Maureen O'Sullivan, Owen P Smith, Eilish Twomey, John Gillick

Affiliations

  1. School of Medicine and Medical Science, University College Dublin, Dublin, Ireland.
  2. Conway Institute of Biomolecular and Biomedical Research, University College Dublin, Dublin, Ireland.
  3. Department of Paediatric Surgery, Children's University Hospital, Dublin, Ireland.
  4. Department of Histopathology, Our Lady's Children's Hospital, Dublin, Ireland.
  5. Department of Paediatric Haematology/Oncology, Our Lady's Children's Hospital, Dublin, Ireland.
  6. Department of Radiology, Children's University Hospital, Dublin, Ireland.

PMID: 26670157 DOI: 10.1111/ped.12807

Abstract

Non-Hodgkin's lymphoma (NHL) is a relatively common childhood cancer that can present in a myriad of ways. It is essential that NHL is included in the differential diagnosis of children presenting with an abdominal complaint, especially those with unexplained or prolonged symptoms. We describe three acute pediatric presentations of abdominal NHL, two of which presented as acute abdomen (the first mimicking intussusception and the second appendicitis), and the third involving lower limb edema. This case series illustrates the array of presentations of abdominal NHL and the diagnostic challenges that they can provide.

© 2015 Japan Pediatric Society.

Keywords: abdominal neoplasm; delayed diagnosis; lymphoma; non-Hodgkin; surgical oncology

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