Diagnostic and Therapeutic Challenges Owing to Concurrent Pontine Glioma and Acute Lymphoblastic LeukemiaAnoop, Parameswaran MD, MRCPCH; Hargrave, Darren MRCP, MRCPCH; Zacharoulis, Stergios MD; Saran, Frank FRCP, FRCRJournal of Pediatric Hematology/Oncology: June 2008 - Volume 30 - Issue 6 - p 454-457 doi: 10.1097/MPH.0b013e318161aa4e Clinical and Laboratory Observations Abstract Author Information The presence of 2 active primary tumors in a child is both unusual and challenging. This places the clinician and the family in a difficult situation while planning the treatment. The concurrent presence of a low-grade brain stem glioma and acute lymphoblastic leukemia in a genetically normal girl is presented. The problems encountered with diagnosis and treatment are discussed here. Department of Pediatric Hemato-Oncology, Royal Marsden Hospital, Downs Road, Sutton SM2 5PT, Surrey, UK Reprints: Dr Darren Hargrave, MRCP, MRCPCH, Royal Marsden Hospital, Downs Road, Sutton SM2 5PT, Surrey, UK (e-mail: firstname.lastname@example.org). Received for publication October 1, 2007; accepted October 31, 2007 © 2008 Lippincott Williams & Wilkins, Inc.