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Non-Hodgkin-Lymphome bei Kindern und Jugendlichen

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Zusammenfassung

Die Non-Hodgkin-Lymphome (NHL) stellen eine heterogene Gruppe von bösartigen Erkrankungen des lymphatischen Systems dar und umfassen alle bösartigen Lymphome, die keine Hodgkin-Lymphome sind. Sie sind im Kindes- und Jugendalter hoch aggressiv und schnell wachsend. Die relative Häufigkeit in Deutschland beträgt 6,2 % aller Tumorerkrankungen im Kindesalter. Typische Vertreter sind die Burkitt-Lymphome inkl. der reifzelligen B-Zelltyp-Leukämien, die T- und B-lymphoblastischen Lymphome sowie die großzellig anaplastischen Lymphome. Die klinische Symptomatik ist heterogen und reicht von der schmerzlosen Lymphadenopathie, über das akute Abdomen, pulmonale Symptome bei mediastinalem Tumorbefall, ZNS-Symptome bis hin zur Zytopenie bei Knochenmarkbeteiligung. Die Diagnosesicherung erfolgt histologisch. Die Behandlung erfolgt mittels Zytostatika. Die chirurgische Therapie ist abdominellen Notfallsituationen vorbehalten. Die Prognose ist insgesamt gut.

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Correspondence to Guido Seitz .

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Seitz, G., Mauz-Körholz, C. (2018). Non-Hodgkin-Lymphome bei Kindern und Jugendlichen. In: von Schweinitz, D., Ure, B. (eds) Kinderchirurgie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53390-1_92-1

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