%0 Journal Article
%T Pericardial Effusion and Atrial Thrombosis: A Rare Complication of Childhood Leukemia
%A Soheila Zareifar
%A Sirous Cheriki
%A Maral Namdari
%A Mohammadreza Farahmandfar
%J Iranian Journal of Pediatrics
%D 2012
%I Tehran University of Medical Sciences
%X Background: Acute lymphoblastic leukemia (ALL) is the most common malignancy diagnosed in children.Extramedullary leukemia including hepatosplenomegaly, lymphadenopathy, and mediastinal mass are theclinical presentations of T-cell ALL. Pericardial effusion and atrial mass are rare presentations of pediatric leukemia.Case Presentation: We report a 15-year-old girl with T-cell ALL, who presented initially with pericardial effusion and cardiac tamponade and subsequently developed right atrial mass. The mediastinal and right atrial masses were excised by surgical procedure as a treatment strategy for prevention of arrhythmia and sudden death.Conclusion: T-cell ALL can present with pericardial and mediastinal involvement as an initial manifestation.Pericardiocenthesis and systemic anticancer chemotherapy without local chemotherapy should be considered in these cases.
%K Acute Lymphoblastic Leukemia
%K Extramedullary Leukemia
%K Pericardial Effusion
%K Atrial Mass
%U http://ijp.tums.ac.ir/index.php/ijp/article/view/1304/pdf