Synchronous B-lymphoblastic leukemia/lymphoma and subcutaneous panniculitis-like T-cell lymphoma in an 11-year-old pediatric patient.
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BACKGROUND: Subcutaneous panniculitis-like T-cell lymphoma (SPTCL) is rare in pediatric patients, whereas B-lymphoblastic leukemia/lymphoma (B-ALL) is a common childhood hematologic malignancy. The synchronous occurrence of these two distinct lymphoid neoplasms is exceedingly rare, with only two previously reported pediatric cases. CASE PRESENTATION: We describe the case of an 11-year-old boy with biopsy-proven SPTCL whose staging marrow examination revealed concurrent B-ALL. The patient was treated according to the B-ALL protocol, and the cutaneous lesions resolved promptly after induction therapy. CONCLUSION: This case highlights the importance of comprehensive skin biopsy and staging. Management in such cases should be directed toward the B-ALL component.