A Case of Acute Lymphoblastic Leukemia with Isolated Orbital Relapse
Journal Title: Meandros Medical and Dental Journal - Year 2018, Vol 19, Issue 2
Abstract
Acute lymphoblastic leukemia (ALL) is the most common malignancy of childhood. Central nervous system is the most frequent place of both at the onset and relapse of the disease, but orbital involvement is rarely seen. A seven-year-old girl diagnosed with high risk ALL and Turkish ALL-Berlin Frankfurt Münster (BFM)-2000 high risk group treatment was given. However, after induction and consolidation treatments, before the maintenance treatment she had blindness in her right eye. Ophthalmologic examination her visual acuity was fingers to count in two meters. In her right eye there was exudative retinal detachment and her orbital magnetic resonance imaging (MRI) showed that, there was a mass lesion in the posterior of right orbital globe, on the neighbourhood of optic disc, consistent with metastasis. After ALL-REZ-BFM-2002 relapse protocol treatments and radiotherapy her visual acuity was increased to 6/10. In control orbital MRI regression of mass lesion size was established. Bone marrow transplantation was planned. Orbital involvement is rarely seen in leukemia, but it is responsive to chemotherapy and radiotherapy combination.
Authors and Affiliations
Aziz Polat, Funda Özgürler Akpınar, Yasemin Işık Balcı, Semra Acer, Ali Koçyiğit, Havva Evrengül
Keywords
Related Articles
- EP ID EP382194
- DOI 10.4274/meandros.2066
- Views 126
- Downloads 0
A Rare Cause of Embolism: Cardiac Papillary Fibroelastoma
Cardiac tumors are rarely encountered pathologies, but they may have versatile and different clinical implications. Cardiac papillary fibroelastomas are the third most common primary heart tumors and these are often diag...
Effect of Different Surface Finishing Methods and Colorant Solutions on Translucency of Monolithic CAD/CAM Ceramics
Objective: An ideal aesthetic restoration should be morphologically and optically compatible with the natural teeth and, at the same time, biologically acceptable. The translucency of the restoration is the most importan...
The Effect of Color Selection on the Color Stability of the Resin Cement
Objective: The aim of this study was to determine effect of shade selection on resin cement’s color stability. Materials and Methods: Ten resin cement samples in dimensions of 10 mm diameter and 2 mm thickness for each...
Importance of Ethics in Surgical Practice
.
A Rare Cause of Empyema in Children: Streptococcus pyogenes
Empyema is the presence of purulent material in the pleural cavity, and it is a well-known and frequent complication of pneumonia in children. Despite the new antimicrobial treatment options and the different drainage te...