Volume 10, Issue 1 (1-2020)                   Iran J Ped Hematol Oncol 2020, 10(1): 69-73 | Back to browse issues page

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Goudarzipour K, Mohammadi A, Taherian R, Arabahmadi M, Behnam B, Ayoobi Yazdi N. Proptosis as Initial Presentation of Acute Lymphoblastic Leukemia in an Otherwise Healthy Child: A Case Report and Review of The Literature. Iran J Ped Hematol Oncol 2020; 10 (1) :69-73
URL: http://ijpho.ssu.ac.ir/article-1-301-en.html
Proptosis as Initial Presentation of Acute Lymphoblastic Leukemia in an Otherwise Healthy Child: A Case Report and Review of The Literature
Kourosh Goudarzipour , Ahmad Mohammadi , Reza Taherian , Mehran Arabahmadi * , Behdad Behnam , Niloofar Ayoobi Yazdi
Brain Mapping Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract:   (2263 Views)
Acute lymphocytic leukemia (ALL) is one of the frequent malignancies in pediatrics and involves bone marrow and extramedullary sites. Proptosis as extramedullary involvement of leukemia usually present in acute and chronic myeloid leukemia. It is extremely rare for ALL to present initially as proptosis.Here, a-21-month-old boy was presented with proptosis without any associated symptoms except lymphadenopathy. He was referred with the impression of malignancy from an ophthalmologist. After bone marrow biopsy which showed 33% blast cells, all positive for CD10, CD19, and CD79, the diagnosis of pre-B cell ALL was finally made. His symptoms were improved completely 16 days after starting standard protocol for ALL.Afterone-year follow-up, he was free of any symptoms.According to this initial presentation of ALL and no typical associated symptoms, it is important to make rapid diagnosis and start the treatment in the childhood.
 
Keywords: Acute lymphoblastic leukemia, Proptosis, Childhood
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Type of Study: case report | Subject: General
Received: 2017/12/21 | Accepted: 2019/10/5 | Published: 2020/01/6
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