Gastric Diffuse Large B-Cell Lymphoma in an Adolescent: A Case Report

Non-Hodgkin lymphoma (NHL) is the 11th most common cancer worldwide and the 4th most common pediatric cancer. The GI tract is the most common extranodal site of NHL, making up about 30–40% of extranodal cases. The median age at diagnosis for gastrointestinal NHL (gNHL) is around 61. On the other han...

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Main Authors: Fouad Nahhat, Kareem Zabad, Hasan Najjar, Modar Doyya, Nisreen Khazeam
Format: Article
Language:English
Published: Karger Publishers 2023-02-01
Series:Case Reports in Oncology
Subjects:
Online Access:https://www.karger.com/Article/FullText/529181
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author Fouad Nahhat
Kareem Zabad
Hasan Najjar
Modar Doyya
Nisreen Khazeam
author_facet Fouad Nahhat
Kareem Zabad
Hasan Najjar
Modar Doyya
Nisreen Khazeam
author_sort Fouad Nahhat
collection DOAJ
description Non-Hodgkin lymphoma (NHL) is the 11th most common cancer worldwide and the 4th most common pediatric cancer. The GI tract is the most common extranodal site of NHL, making up about 30–40% of extranodal cases. The median age at diagnosis for gastrointestinal NHL (gNHL) is around 61. On the other hand, gNHL is very rare in the pediatric population. Herein, we report the case of a 15-year-old girl who complained of abdominal pain and vomiting after meals, with severe B symptoms (fever, night chills, and severe weight loss). Esophagogastroduodenoscopy showed a mass in the lesser curvature of the stomach. Subsequent biopsy and immunostaining of the sample confirmed the diagnosis of diffuse large B-cell lymphoma. CT and PET-CT scans indicated the involvement of mesenteric and lesser omental lymph nodes. Later on, the patient started an R-CHOP chemotherapy regimen. In this report, we aim to shine the light on such a rare disease in this age group.
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spelling doaj.art-308e325076d64e4ab16ff7df60aa476a2023-03-09T08:59:35ZengKarger PublishersCase Reports in Oncology1662-65752023-02-01161636710.1159/000529181529181Gastric Diffuse Large B-Cell Lymphoma in an Adolescent: A Case ReportFouad Nahhat0https://orcid.org/0000-0002-8562-2954Kareem Zabad1Hasan Najjar2https://orcid.org/0000-0002-5128-9540Modar Doyya3Nisreen Khazeam4Faculty of Medicine, Damascus University, Damascus, Syrian Arab RepublicFaculty of Medicine, Damascus University, Damascus, Syrian Arab RepublicFaculty of Medicine, Damascus University, Damascus, Syrian Arab RepublicFaculty of Medicine, Damascus University, Damascus, Syrian Arab RepublicFaculty of Medicine, Damascus University, Damascus, Syrian Arab RepublicNon-Hodgkin lymphoma (NHL) is the 11th most common cancer worldwide and the 4th most common pediatric cancer. The GI tract is the most common extranodal site of NHL, making up about 30–40% of extranodal cases. The median age at diagnosis for gastrointestinal NHL (gNHL) is around 61. On the other hand, gNHL is very rare in the pediatric population. Herein, we report the case of a 15-year-old girl who complained of abdominal pain and vomiting after meals, with severe B symptoms (fever, night chills, and severe weight loss). Esophagogastroduodenoscopy showed a mass in the lesser curvature of the stomach. Subsequent biopsy and immunostaining of the sample confirmed the diagnosis of diffuse large B-cell lymphoma. CT and PET-CT scans indicated the involvement of mesenteric and lesser omental lymph nodes. Later on, the patient started an R-CHOP chemotherapy regimen. In this report, we aim to shine the light on such a rare disease in this age group.https://www.karger.com/Article/FullText/529181non-hodgkin lymphomadiffuse large b-cell lymphomagastric lymphomapediatric cancercase report
spellingShingle Fouad Nahhat
Kareem Zabad
Hasan Najjar
Modar Doyya
Nisreen Khazeam
Gastric Diffuse Large B-Cell Lymphoma in an Adolescent: A Case Report
Case Reports in Oncology
non-hodgkin lymphoma
diffuse large b-cell lymphoma
gastric lymphoma
pediatric cancer
case report
title Gastric Diffuse Large B-Cell Lymphoma in an Adolescent: A Case Report
title_full Gastric Diffuse Large B-Cell Lymphoma in an Adolescent: A Case Report
title_fullStr Gastric Diffuse Large B-Cell Lymphoma in an Adolescent: A Case Report
title_full_unstemmed Gastric Diffuse Large B-Cell Lymphoma in an Adolescent: A Case Report
title_short Gastric Diffuse Large B-Cell Lymphoma in an Adolescent: A Case Report
title_sort gastric diffuse large b cell lymphoma in an adolescent a case report
topic non-hodgkin lymphoma
diffuse large b-cell lymphoma
gastric lymphoma
pediatric cancer
case report
url https://www.karger.com/Article/FullText/529181
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AT hasannajjar gastricdiffuselargebcelllymphomainanadolescentacasereport
AT modardoyya gastricdiffuselargebcelllymphomainanadolescentacasereport
AT nisreenkhazeam gastricdiffuselargebcelllymphomainanadolescentacasereport