An adult patient with common B-cell acute lymphoblastic leukaemia who presented with pancreatic involvement, description of the second adult case and review of paediatric cases

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PAMUK G. E., Tapan U., Aksoy S., Umit H.

BMJ Case Reports, 2014 (Scopus)

• Publication Type: Article / Article
• Publication Date: 2014
• Doi Number: 10.1136/bcr-2013-200817
• Journal Name: BMJ Case Reports
• Journal Indexes: Scopus
• Open Archive Collection: AVESIS Open Access Collection
• Trakya University Affiliated: Yes

Abstract

Pancreatic involvement in acute lymphoblastic leukaemia (ALL) may go unrecognised. There are only a few paediatric cases; nevertheless, presentation with pancreatic involvement in an adult patient with ALL has been reported rarely. Our 52-year-old male patient came to us with abdominal pain, nausea and vomiting; he had pancreatic enlargement on CT. He was diagnosed with common B-cell ALL with pancreatic involvement. The patient obtained haematological remission and the pancreatic enlargement regressed after chemotherapy, but later he had central nervous system and liver relapses. He died 6 months after diagnosis because of progressive pneumonia and chemotherapy-resistant ALL with multiple extramedullary relapses. Copyright 2014 BMJ Publishing Group. All rights reserved.