[An indolent and fluctuating subcutaneous mass of the skull in a 5-year-old patient: Diagnostic approach and difficulties].
Fiche publication
Date publication
avril 2017
Journal
Archives de pediatrie : organe officiel de la Societe francaise de pediatrie
Auteurs
Membres identifiés du Cancéropôle Est :
Pr ABELY Michel
Tous les auteurs :
Beck J, Pluchart C, Durlach A, Durez O, Abely M, Pietrement C
Lien Pubmed
Résumé
A subcutaneous mass of the skull in children can have many different causes (infectious, tumoral, and inflammatory). We report on the case of a 5-year-old patient with a subcutaneous mass of the skull evolving over several months. The first pathological analysis concluded in Kimura disease. The progression and scarcity of this entity in children led to a second pathological analysis that showed lymphoblastic lymphoma B (LLB). This case reminds us that when there are discrepancies between pathological conclusions and clinical progression of a tumoral process, repeated analysis and immunochemistry are necessary.
Mots clés
Angiolymphoid Hyperplasia with Eosinophilia, diagnosis, Child, Preschool, Diagnosis, Differential, Female, Head and Neck Neoplasms, diagnosis, Humans, Precursor Cell Lymphoblastic Leukemia-Lymphoma, diagnosis, Scalp, Skin Neoplasms, diagnosis, Subcutaneous Tissue, pathology
Référence
Arch Pediatr. 2017 Apr;24(4):367-370