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Beck J, Pluchart C, Durlach A, Durez O, Abely M, Pietrement C. [An indolent and fluctuating subcutaneous mass of the skull in a 5-year-old patient: Diagnostic approach and difficulties]. Arch Pediatr 2017; 24:367-370. [PMID: 28233718 DOI: 10.1016/j.arcped.2017.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2016] [Revised: 10/04/2016] [Accepted: 01/06/2017] [Indexed: 10/20/2022]
Abstract
A subcutaneous mass of the skull in children can have many different causes (infectious, tumoral, and inflammatory). We report on the case of a 5-year-old patient with a subcutaneous mass of the skull evolving over several months. The first pathological analysis concluded in Kimura disease. The progression and scarcity of this entity in children led to a second pathological analysis that showed lymphoblastic lymphoma B (LLB). This case reminds us that when there are discrepancies between pathological conclusions and clinical progression of a tumoral process, repeated analysis and immunochemistry are necessary.
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Affiliation(s)
- J Beck
- Service d'hémato-oncologie pédiatrique, CHU de Reims, 47, avenue Cognacq-Jay, 51100 Reims, France.
| | - C Pluchart
- Service d'hémato-oncologie pédiatrique, CHU de Reims, 47, avenue Cognacq-Jay, 51100 Reims, France
| | - A Durlach
- Laboratoire Pol-Bouin, service d'anatomopathologie, hôpital Maison-Blanche, CHU de Reims, 47, avenue Cognacq-Jay, 51100 Reims, France
| | - O Durez
- Laboratoire Pol-Bouin, service d'anatomopathologie, hôpital Maison-Blanche, CHU de Reims, 47, avenue Cognacq-Jay, 51100 Reims, France
| | - M Abely
- Service de pédiatrie, CHU de Reims, 47, avenue Cognacq-Jay, 51100 Reims, France
| | - C Pietrement
- Service de pédiatrie, CHU de Reims, 47, avenue Cognacq-Jay, 51100 Reims, France
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