Smooth muscle tumor developing in an immunocompromised child after therapy for leukemia

J Pediatr Hematol Oncol. 2001 Feb;23(2):139-41. doi: 10.1097/00043426-200102000-00015.

Abstract

We report a 5.5-year-old boy who underwent autologous peripheral blood stem cell transplantation for high-risk acute lymphoblastic leukemia and who had two abdominal masses develop 6 months later. Macroscopically complete resection of the abdominal tumors was performed and revealed a well-differentiated leiomyosarcoma. Smooth muscle tumors, benign or malignant, are increasingly recognized in children with various immunodeficiencies; the association with acute lymphoblastic leukemia is rarely described.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Neoplasms / etiology*
  • Abdominal Neoplasms / surgery
  • Anthracyclines / administration & dosage
  • Anthracyclines / adverse effects*
  • Antineoplastic Combined Chemotherapy Protocols / administration & dosage
  • Antineoplastic Combined Chemotherapy Protocols / adverse effects*
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Asparaginase / administration & dosage
  • Asparaginase / adverse effects*
  • Child, Preschool
  • Cortisone / administration & dosage
  • Cortisone / adverse effects*
  • Disease Susceptibility
  • Female
  • Hematopoietic Stem Cell Transplantation*
  • Humans
  • Immunocompromised Host
  • Immunologic Deficiency Syndromes / chemically induced
  • Immunologic Deficiency Syndromes / complications*
  • Immunologic Deficiency Syndromes / etiology
  • Leiomyosarcoma / etiology*
  • Leiomyosarcoma / surgery
  • Leukemia-Lymphoma, Adult T-Cell / drug therapy*
  • Leukemia-Lymphoma, Adult T-Cell / therapy
  • Mercaptopurine / administration & dosage
  • Mercaptopurine / adverse effects
  • Neoplasms, Second Primary / etiology*
  • Neoplasms, Second Primary / surgery
  • Remission Induction
  • Transplantation Conditioning / adverse effects*
  • Transplantation, Autologous
  • Vincristine / administration & dosage
  • Vincristine / adverse effects*
  • Whole-Body Irradiation / adverse effects*

Substances

  • Anthracyclines
  • Vincristine
  • Mercaptopurine
  • Asparaginase
  • Cortisone

Supplementary concepts

  • FRALLE 93 protocol