A Rare Case of Adult Precursor B-Cell Lymphoblastic Lymphoma/Leukemia Presenting with Multiple Osteolytic Bone Lesions as Sole Manifestation

Primary precursor B-lymphoblastic lymphoma/leukemia (B-LBLL) of bone is uncommon neoplasm that accounts for less than 1% of primary bone tumors. It has been commonly reported in pediatric population but is rare in adults. We present a case of a 20-year-old man with multiple osteolytic lesions as sol...

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Main Authors: Micheva I., Dimitrova S.
Format: Article
Language:English
Published: Sciendo 2023-12-01
Series:Acta Medica Bulgarica
Subjects:
Online Access:https://doi.org/10.2478/amb-2023-0044
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author Micheva I.
Dimitrova S.
author_facet Micheva I.
Dimitrova S.
author_sort Micheva I.
collection DOAJ
description Primary precursor B-lymphoblastic lymphoma/leukemia (B-LBLL) of bone is uncommon neoplasm that accounts for less than 1% of primary bone tumors. It has been commonly reported in pediatric population but is rare in adults. We present a case of a 20-year-old man with multiple osteolytic lesions as sole presentation of acute lymphoblastic leukemia, whose diagnosis was established by bone biopsy. A peripheral blood smear and the bone marrow aspirate showed no blast cells. The patient received treatment according to BFM 99 protocol and achieved complete response confirmed by F-FDG-PET/CT.
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spelling doaj.art-d36a9d0b667e4bde8801c1dc941e75de2023-12-18T12:44:20ZengSciendoActa Medica Bulgarica2719-53842023-12-01504555810.2478/amb-2023-0044A Rare Case of Adult Precursor B-Cell Lymphoblastic Lymphoma/Leukemia Presenting with Multiple Osteolytic Bone Lesions as Sole ManifestationMicheva I.0Dimitrova S.1UMHAT “Sveta Marina”, Department of Hematology, Medical University – Varna, BulgariaUMHAT “Sveta Marina”, Department of Hematology, Medical University – Varna, BulgariaPrimary precursor B-lymphoblastic lymphoma/leukemia (B-LBLL) of bone is uncommon neoplasm that accounts for less than 1% of primary bone tumors. It has been commonly reported in pediatric population but is rare in adults. We present a case of a 20-year-old man with multiple osteolytic lesions as sole presentation of acute lymphoblastic leukemia, whose diagnosis was established by bone biopsy. A peripheral blood smear and the bone marrow aspirate showed no blast cells. The patient received treatment according to BFM 99 protocol and achieved complete response confirmed by F-FDG-PET/CT.https://doi.org/10.2478/amb-2023-0044acute lymphoblastic lymphoma/leukemiabone lesionspet/ct
spellingShingle Micheva I.
Dimitrova S.
A Rare Case of Adult Precursor B-Cell Lymphoblastic Lymphoma/Leukemia Presenting with Multiple Osteolytic Bone Lesions as Sole Manifestation
Acta Medica Bulgarica
acute lymphoblastic lymphoma/leukemia
bone lesions
pet/ct
title A Rare Case of Adult Precursor B-Cell Lymphoblastic Lymphoma/Leukemia Presenting with Multiple Osteolytic Bone Lesions as Sole Manifestation
title_full A Rare Case of Adult Precursor B-Cell Lymphoblastic Lymphoma/Leukemia Presenting with Multiple Osteolytic Bone Lesions as Sole Manifestation
title_fullStr A Rare Case of Adult Precursor B-Cell Lymphoblastic Lymphoma/Leukemia Presenting with Multiple Osteolytic Bone Lesions as Sole Manifestation
title_full_unstemmed A Rare Case of Adult Precursor B-Cell Lymphoblastic Lymphoma/Leukemia Presenting with Multiple Osteolytic Bone Lesions as Sole Manifestation
title_short A Rare Case of Adult Precursor B-Cell Lymphoblastic Lymphoma/Leukemia Presenting with Multiple Osteolytic Bone Lesions as Sole Manifestation
title_sort rare case of adult precursor b cell lymphoblastic lymphoma leukemia presenting with multiple osteolytic bone lesions as sole manifestation
topic acute lymphoblastic lymphoma/leukemia
bone lesions
pet/ct
url https://doi.org/10.2478/amb-2023-0044
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