Vadodara: A three-year-old girl from Godhra has become one of the rare patients suffering from an extremely rare tumour that has infiltrated her spleen.
The girl, whose parents are optometrists, was evaluated at Kashiba Children’s Hospital in Vadodara where an ultrasound revealed a mass around the spleen. Globally, less than 200 cases of such tumours of splenic origin have been reported so far.
The girl was having recurrent fever, irritability, and loss of appetite for the last two months. After each febrile episode, the child was given antibiotics, the fever would subside for few days but would return.
Her basic medical examination had showed anaemia along with increased platelet count of 13 lakh. It was after almost six weeks that the child was referred to Vadodara.
“We had conduct special tests including CT scan and PET scan, which showed that the child is suffering from splenic tumour. Since, primary splenic tumours are extremely rare in children, we thought the child would be suffering from Non-Hodgkin lymphoma, a type of cancer that forms in the lymph system. But on doing biopsy, it turned out to be a rare tumour called the inflammatory myofibroblastic tumour (IMT),” said Dr Urvinder Kaur, paediatric hemoto-oncologist.
Along with Dr Anand Naregal, paediatric surgeon and Dr Udyan Kacchi, pathologist, they are all involved in treatment of the child.
“IMT are rare types of intermediate malignant tumour which are locally aggressive. They are mostly seen involving orbit, lungs, in abdomen, from intestines or mesentery. These tumours are extremely rare in spleen as was in this case. In fact, less than 200 cases of this tumour of splenic origin whether in kids or adults have been reported globally so far,” Dr Kaur said.
The doctors have decided to take a cautious approach.
“Surgical resection is the mainstay of treatment when it comes to treating such patients. However, this child is less than five years of age. Performing doing splenectomy before this age carries a high risk of mortality due to overwhelming sepsis. So, we have put this child on weekly chemotherapy. We are closely and constantly monitoring her condition till safe surgery can be offered to her,” she said.
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The girl, whose parents are optometrists, was evaluated at Kashiba Children’s Hospital in Vadodara where an ultrasound revealed a mass around the spleen. Globally, less than 200 cases of such tumours of splenic origin have been reported so far.
The girl was having recurrent fever, irritability, and loss of appetite for the last two months. After each febrile episode, the child was given antibiotics, the fever would subside for few days but would return.
Her basic medical examination had showed anaemia along with increased platelet count of 13 lakh. It was after almost six weeks that the child was referred to Vadodara.
“We had conduct special tests including CT scan and PET scan, which showed that the child is suffering from splenic tumour. Since, primary splenic tumours are extremely rare in children, we thought the child would be suffering from Non-Hodgkin lymphoma, a type of cancer that forms in the lymph system. But on doing biopsy, it turned out to be a rare tumour called the inflammatory myofibroblastic tumour (IMT),” said Dr Urvinder Kaur, paediatric hemoto-oncologist.
Along with Dr Anand Naregal, paediatric surgeon and Dr Udyan Kacchi, pathologist, they are all involved in treatment of the child.
“IMT are rare types of intermediate malignant tumour which are locally aggressive. They are mostly seen involving orbit, lungs, in abdomen, from intestines or mesentery. These tumours are extremely rare in spleen as was in this case. In fact, less than 200 cases of this tumour of splenic origin whether in kids or adults have been reported globally so far,” Dr Kaur said.
The doctors have decided to take a cautious approach.
“Surgical resection is the mainstay of treatment when it comes to treating such patients. However, this child is less than five years of age. Performing doing splenectomy before this age carries a high risk of mortality due to overwhelming sepsis. So, we have put this child on weekly chemotherapy. We are closely and constantly monitoring her condition till safe surgery can be offered to her,” she said.
We also published the following articles recently
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Nivedita Tomar, facing brain surgery and potential blindness, established UP’s first govt library for disabled children, Sugamya Library in Moradabad. The library serves around 5,000 children with special needs, offering Braille slates, Taylor’s mathematical frame, abacus, sound ball, and special books. Three more libraries will be set up in Moradabad.