title: Relapse of Acute Lymphoblastic Leukemia as a Conjunctival Mass in a 9-Year-Old Girl.
abstract: A 9-year-old girl with a history of acute lymphoblastic leukemia in remission presented with a right subconjunctival mass and ipsilateral preauricular lymphadenopathy despite normal findings on blood cell profile. Excisional biopsy of the lesion was performed to exclude extramedullary relapse of acute lymphoblastic leukemia. Histopathologic examination showed infiltration of leukemic cells at the conjunctival substantia propria. The patient was referred to her oncologist, and bone marrow aspiration showed medullary relapse of acute lymphoblastic leukemia for which systemic and intrathecal chemotherapy was administered. Leukemic infiltration of the conjunctiva in the presence of normal findings on blood cell profile can be a rare manifestation of relapsed acute lymphoblastic leukemia.
authors: Mohammad-Ali
authors: MA
authors: Javadi
authors: Mozhgan Rezaei
authors: MR
authors: Kanavi
authors: Amir
authors: A
authors: Faramarzi
authors: Nima
authors: N
authors: Naghshgar
authors: Firooz
authors: F
authors: Mirbabaei
authors: Asghar
authors: A
authors: Ramyar