[Isolated extramedullary adnexal relapse of acute lymphoblastic leukemia: a case report].
The occurrence of an isolated ovarian or pelvic relapse of acute lymphoblastic leukemia (ALL) in complete remission after chemotherapy has rarely been described. We report the case of a 12-year-old girl, treated for ALL, who developed an isolated left ovarian and fallopian tube localization without medullary or blood relapse 4 years after the end of the initial treatment. She presented with an isolated pelvic mass. The diagnosis was established by a CT-guided biopsy. The treatment consisted of a second course of chemotherapy and complementary surgery; a second complete remission was obtained.
Service d'hématologie du CHU Hedi chaker de Sfax, Tunisie. hatem.bellaaj@rns.tn
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Bellaaj
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Moussa
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Gouiaa
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Maazoun
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Frikha
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Medhaffar
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Hdiji
M
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Elloumi
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Souissi
D000290:Adnexa Uteri / Q000601:surgery; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001706:Biopsy; D002648:Child; D003131:Combined Modality Therapy; D005187:Fallopian Tubes / Q000473:pathology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D017254:Leukemic Infiltration / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging; D010052:Ovariectomy; D010053:Ovary / Q000473:pathology*; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000175:diagnosis* / Q000188:drug therapy; D012074:Remission Induction; D019233:Retreatment; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography