Bone involvement in Hodgkin lymphoma (HL) is rare. The differential diagnosis between HL bone localization and other malignant or benign skeletal diseases is challenging. We report the case of a girl affected by classic HL, initially staged IVA because of supradiaphragmatic lymph nodes and skeletal involvement. After 6 ABVD (adriamycin, bleomycin, vinblastine, dacarbazine) cycles, positron emission tomography (PET) showed a complete metabolic response of the nodal localizations and a persistent, high metabolic activity of bone lesions. Salvage treatment followed by autologous stem cell transplant was carried out. After the transplant, the bone lesions maintained a high metabolic activity at PET. A targeted bone biopsy led to the diagnosis of a fibrous dysplasia excluding the presence of HL. To our knowledge, the concomitant presence of HL and fibrous dysplasia has not been previously reported. An in-depth evaluation of disease response to frontline treatment with a biopsy of the PET-hypercaptant bone lesions could have avoided overtreatment in this patient.
Polyostotic Fibrous Dysplasia Mimicking Bone Involvement in Hodgkin Lymphoma: A Pediatric Case and Literature Review / Lapietra, G.; Moleti, M. L.; Giona, F.; Turchetti, A.; Celli, M.; Corsi, A.; Zambrano, A.; D'Avanzo, M.; Celli, L.; Testi, A. M.. - In: ACTA HAEMATOLOGICA. - ISSN 0001-5792. - 144(2021), pp. 212-217. [10.1159/000508261]
Titolo: | Polyostotic Fibrous Dysplasia Mimicking Bone Involvement in Hodgkin Lymphoma: A Pediatric Case and Literature Review | |
Autori: | ||
Data di pubblicazione: | 2021 | |
Rivista: | ||
Citazione: | Polyostotic Fibrous Dysplasia Mimicking Bone Involvement in Hodgkin Lymphoma: A Pediatric Case and Literature Review / Lapietra, G.; Moleti, M. L.; Giona, F.; Turchetti, A.; Celli, M.; Corsi, A.; Zambrano, A.; D'Avanzo, M.; Celli, L.; Testi, A. M.. - In: ACTA HAEMATOLOGICA. - ISSN 0001-5792. - 144(2021), pp. 212-217. [10.1159/000508261] | |
Handle: | http://hdl.handle.net/11573/1444586 | |
Appartiene alla tipologia: | 01g Articolo di rassegna (Review) |
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