Precursor B- cell lymphoblastic lymphoma/leukaemia masquerading as epidermal cyst of scalp

B-Lymphoblastic lymphoma (B-LBL) is a relatively uncommon neoplasm when compared to T-LBL or B-ALL. Here we report a case of a 11yr male child who presented with a swelling in the fronto-parietal scalp, diagnosed clinically and on FNAC as epidermal cyst. The biopsy and HPE confirmed the diagnosis of...

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Main Authors: Basab Bagchi (Author), Surabhi Raj (Author), Bindey Kumar (Author), Amit Kumar Sinha (Author), Sachin Bharti (Author)
Format: Book
Published: Elsevier, 2020-09-01T00:00:00Z.
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Summary:B-Lymphoblastic lymphoma (B-LBL) is a relatively uncommon neoplasm when compared to T-LBL or B-ALL. Here we report a case of a 11yr male child who presented with a swelling in the fronto-parietal scalp, diagnosed clinically and on FNAC as epidermal cyst. The biopsy and HPE confirmed the diagnosis of B-LBL. After 7 months of initial presentation and even before treatment could be initiated the patient evolved into B-ALL. The patient responded to chemotherapy (BFM2002)' and local radiotherapy and debridement of swelling. B-LBL has common extranodal presentation and can lead to diagnostic dilemma.
Item Description:2468-1245
10.1016/j.phoj.2020.06.001