Acute lymphoblastic leukemia: primary bone manifestation with hypercalcemia in a child

Autor: Cristiano C. Oliveira, Luan Kucko, Eric J. Hirama, Helena M. Guerra, Simone A. Terra, Lied M. Santiago, Manuella P. Segredo, Ligia Niero-Melo, Maria Aparecida C. Domingues
Jazyk: angličtina
Předmět:
Zdroj: Jornal Brasileiro de Patologia e Medicina Laboratorial, Vol 53, Iss 1, Pp 61-64
Druh dokumentu: article
ISSN: 1676-2444
1678-4774
DOI: 10.5935/1676-2444.20170010
Popis: ABSTRACT Primary bone manifestation associated with hypercalcemia is an infrequent presentation of acute lymphoblastic leukemia (ALL) in children. An 8-year-old girl was admitted with bone and abdomen pain, vomiting, fever, headache, anemia, elevated serum calcium and normal parathyroid hormone levels. Bone radiographs: osteolytic lesions. Bone marrow biopsy showed an infiltration by ALL with immunohistochemical positivity for CD45, CD20, CD79a, TdT and CD10, clinically characterized by hypercalcemia, multifocal osteolytic lesions and single cytopenia. Bone marrow biopsy was a relevant aid in establishing the diagnosis of multifocal osteolytic lesions, associated with hypercalcemia.
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