Tanısal Gecikmenin Nadir Bir Nedeni: Primer Kemik Lenfoması

Primer kemik lenfomaları çocukluk çağında nadir görülen tümörlerdendir. Az görülmesi ve konu hakkında bilgi birikiminin yeterli olmayışı nedeniyle iskelet sistemi ile ilgili şikayetlerle başvuran hastalarda tanısal gecikmeler olabilmektedir. Bu yazıda başlangıçta osteosarkom tanısı alan ve 11 aylık gecikme sonrasında, muhtemelen tümör infiltrasyonuna bağlı büyümüş ve konglomere olmuş lenf nodlarının neden olduğu, karın ağrısı nedeniyle araştırılırken kemik lenfoması tanısı alan 7 yaşında bir kız hasta sunulmuştur. Klinisyenlerin, ağrı ve şişlik gibi iskelet sistemiyle ilgili semptomları dikkate alması ve malign tümörlerin de ayırıcı tanıda düşünülmesi gerekmektedir.

Anahtar Kelimeler:

Non-Hodgkin lenfoma, tanısal gecikme, kemik, çocukluk çağı

A Rare Cause of Diagnostic Delay: Primary Bone Lymphoma

Primary lymphomas of bone in childhood are not frequently diagnosed. Because of its rarity and little information about the issue, diagnostic delays can ocur in patients who present with complaints related with skeletal system. In this report, a 7-year-old female with bone lymphoma was presented, who initially diagnosed as osteomyelitis and could be diagnosed after 11-month-delay during an investigation of abdominal pain, probably originated from enlarged and conglomerated lymph nodes caused by tumoral infiltration. Clinicians must be aware of symptoms involving skeletal system, such as pain and swelling and malignant neoplasms should be considered in differential diagnosis.

Keywords:

Non-Hodgkin lymphoma, diagnostic delay, bone, childhood,

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