PURPOSE: To determine the clinical, pathologic, and radiologic feature
s in pediatric patients with acquired immunodeficiency syndrome (AIDS)
related lymphoma and to compare these features with those in adult pat
ients with AIDS-related lymphoma. MATERIALS AND METHODS: Clinical and
radiologic findings were retrospectively reviewed in nine children (ag
ed 1-15 years) with AIDS-related lymphoma. All patients had neoplastic
changes that were not consistent with hyperplastic lymphoid tissue. T
he children underwent ultrasonography, computed tomography, magnetic r
esonance imaging, and plain radiography. RESULTS: Sites of involvement
by malignant non-Hodgkin lymphoma at diagnosis were the liver (n = 7)
, spleen (n = 5), kidney (n = 4), central nervous system (n = 2), and
testis and bone (n = 1). Symptoms included seizures, respiratory distr
ess, testicular swelling, and increased abdominal girth. CONCLUSION Ch
ildren with AIDS-related lymphoma have symptoms distinct from those fo
und in adults, but clinical, radiologic, and pathologic findings show
that almost any anatomic site in these children can be involved.