A Palpable Back Mass As First Presenting Sign Of Acute Lymphoblastic Leukemia In A Pediatric Patient

Melissa Kramer,Reuben Antony,Arzu Ozturk, Kristiana Lehn,John P Graff,Jong H Chung

JOURNAL OF PEDIATRIC HEMATOLOGY ONCOLOGY（2019）

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摘要

To the Editor:Children with acute lymphocytic leukemia (ALL) usually present with symptoms of fatigue, pallor, bruising, fever, hepatosplenomegaly, and/or lymphadenopathy. Rare presenting clinical features include lactic acidosis, hypercalcemia, bone marrow necrosis, visual impairment, and renal enl

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