Das T-Zell Lymphom ist das häufigste Non-Hodgkin-Lymphom des Kindesalters. Besonders bei Patienten ohne leukämische Transformation ist die Ultraschalldiagnostik geeignet, frühzeitig den generalisierten Charakter der Erkrankung zu erkennen. Die Sonographie ist als nicht-invasive Methode und nicht belastendes Verfahren auch bei den meist schwerkranken Patienten leicht durchführbar. Neben der intraabdominellen Beteiligung ergeben sich wichtige Hinweise über die Auswirkungen des Mediastinaltumors auf die großen, intrathorakalen Gefäße und über einen Perikard- und Pleuraerguß. Wir berichten über unsere Erfahrungen bei 6 Patienten mit lymphoblasti-schem T-Zell-Lymphom ohne frühe leukämische Transformation.

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