Management of abdominal Non-Hodgkin's lymphoma in children in Mosel

Abstract

A Case series  study include 34 child with abdominal  NHL treated in AL~ Khanssa  teaching hospital  in Mosel  between January 2001 and J anuary 2010 . 34 children with abdominal NHL treated, complete  history  and full examination  done, with  investigations  which  include hematological  and radiological study. Fine needle aspiration  cytology  from the abdominal mass done in some patient.  For those patients underwent  laparatomy,  a uniform policy  was made to resect the tumor  if possible  or to debulk the tumor  irrespective  to the diseases spread,  and if this was not possible to perform only a biopsy  .The resected  specimen  sent for histopathology.  All patients send for chemotherapy. The total number was 34 patients,  25 male,  9 female. Male to female ratio is 2.8 / 1. Age ranges between 2 and 14 years, in eight patients FNA cytology done, The total number was 34 patients,  25 male,  9 female. Male to Six out of 34 presented  with acute abdomen  three  patients had intestinal  obstruction.  One patient present  with multiple abdominal  mass. Twenty-eight  patients presented  with palpable  abdominal mass  or masses  without acute symptoms. Burkett’s  lymphomas  are the most common  type of abdominal  NHL makes  30 patients (90%), Lymphoblastic lymphoma  (LBL) three  patients (8%), and Large  cell lymphoma  (LCL) one patient  (2%).