title: Pediatric anaplastic large cell lymphoma misdiagnosed as multiple organ abscesses: a case report and literature review.
abstract: We report the case of a 6-year-old male with fever, left maxillofacial swelling, cervical and mediastinal masses, and lymphadenopathy who developed respiratory failure and shock caused by tracheal compression and superior vena cava reflux disorder. The initial diagnosis was maxillary sinus, cervical, and mediastinal abscesses. Initial treatments included maxillary sinus abscess resection, neck abscess incision drainage, and antibiotics. Anaplastic large cell lymphoma (ALCL) was diagnosed ultimately according to pathological and immunohistochemical examination of cervical lesion biopsy tissue. We analyze the reasons for misdiagnosis by comparing clinical and pathological features of ALCL to other systemic illnesses that cause lymphadenopathy.
authors.affiliation: Guangzhou Women and Children's Medical Center Guangzhou 510115, Guangdong, China.
authors.forename: Wenmin
authors.initials: W
authors.lastname: Yang
authors.affiliation: Guangzhou Women and Children's Medical Center Guangzhou 510115, Guangdong, China.
authors.forename: Yunlong
authors.initials: Y
authors.lastname: Zuo
authors.affiliation: Guangzhou Women and Children's Medical Center Guangzhou 510115, Guangdong, China.
authors.forename: Yiyu
authors.initials: Y
authors.lastname: Yang
authors.affiliation: Guangzhou Women and Children's Medical Center Guangzhou 510115, Guangdong, China.
authors.forename: Jianping
authors.initials: J
authors.lastname: Tao
authors.affiliation: Guangzhou Women and Children's Medical Center Guangzhou 510115, Guangdong, China.
authors.forename: Jie
authors.initials: J
authors.lastname: Hong
authors.affiliation: Guangzhou Women and Children's Medical Center Guangzhou 510115, Guangdong, China.
authors.forename: Zhiyuan
authors.initials: Z
authors.lastname: Wu
authors.affiliation: Guangzhou Women and Children's Medical Center Guangzhou 510115, Guangdong, China.
authors.forename: Feiyan
authors.initials: F
authors.lastname: Chen
authors.affiliation: Guangzhou Women and Children's Medical Center Guangzhou 510115, Guangdong, China.
authors.forename: Run
authors.initials: R
authors.lastname: Dang
authors.affiliation: Guangzhou Women and Children's Medical Center Guangzhou 510115, Guangdong, China.
authors.forename: Yufeng
authors.initials: Y
authors.lastname: Liang
authors.affiliation: The First Affiliated Hospital of Zhongshan University Guangzhou 510115, Guangdong, China.
authors.forename: Yang
authors.initials: Y
authors.lastname: Li
authors.affiliation: Guangzhou Women and Children's Medical Center Guangzhou 510115, Guangdong, China.
authors.forename: Dabo
authors.initials: D
authors.lastname: Liu
keywords: Anaplastic large cell lymphoma; abscess; child; differential diagnosis; misdiagnose