![]() Here is a book that isn't coming out to big fanfare. ![]() And she has quietly promoting her book, CAMP, while befriending readers at Facebook and Twitter. Elaine Wolf has been actively advocating for bullying awareness in the various social media forums. I am coming out to call Elaine Wolf's CAMP the sleeper hit of the YA genre in 2012. Winner of the Forward National Literature Award and selected as a book-of-the-month by the Holocaust Memorial and Tolerance Center of Nassau County (New York), CAMP is widely recommended by librarians, teachers, and book groups. Then a cousin reveals dark secrets about Amy's mother's past, which sets in motion a tragic event that changes Amy and her family forever. As she struggles to stop the mean girls from tormenting her, Amy becomes more confident. At Takawanda she is subjected to a humiliating "initiation" and relentless bullying by the ringleader of the senior campers. Although Amy swears she hates her German-immigrant mother, who is unduly harsh with Amy's autistic younger brother, Amy is less than thrilled about going to camp. Amy, whose home life is in turmoil, is sent to Camp Takawanda for Girls for the first time as a teenager. A great choice for book clubs (adult groups as well as teen).įor most girls, sleepaway camp is great fun. Intestinal T-cell and natural killer (NK)–cell lymphomas are clinically aggressive and can be challenging to diagnose in small endoscopic biopsies.A coming-of-age novel about bullying, family relationships, and the collateral damage of secrets. We describe 8 patients in whom atypical NK-cell lymphoproliferative lesions mimicked NK- or T-cell lymphoma. The patients (2 men 6 women ages 27-68 years) presented with vague gastrointestinal symptoms with lesions involving stomach, duodenum, small intestine, and colon. At endoscopy, the lesions exhibited superficial ulceration, edema, and hemorrhage. Biopsies revealed a mucosal infiltrate of atypical cells with an NK-cell phenotype (CD56 +/TIA-1 +/Granzyme B +/cCD3 +), which displaced but did not invade the glandular epithelium. ![]() Epstein-Barr virus–encoded RNA in situ hybridization was negative, and T-cell receptor-γ gene rearrangement showed no evidence of a clonal process. Based on an original diagnosis of lymphoma, 3 patients received aggressive chemotherapy followed by autologous bone marrow transplantation in 2. Five patients were followed without treatment. However, no patient developed progressive disease or died of lymphoma (median follow-up, 30 months). Repeat endoscopies in 6 of 8 patients showed persistence or recurrence of superficial gastrointestinal lesions. This unique entity mimics intestinal and NK-/T-cell lymphomas on endoscopic biopsies and can result in erroneous diagnosis, leading to aggressive chemotherapy. We propose the term “NK-cell enteropathy” for this syndrome of as yet unknown etiology.Įxtranodal natural killer (NK)-/T-cell lymphomas are postulated to originate from activated NK cells, although some cases have been shown to have a true T-cell derivation. 1 Distinctive morphologic features of extranodal NK-/T-cell lymphoma are an angiocentric and angiodestructive growth pattern with frequent necrosis and apoptosis.
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