Acta Medica Iranica 2009. 47(6):493-497.

A Rare Presentation of Childhood Burkitt`s Lymphoma with Tense Ascites, Massive Pleural Effusion and Abdominal Mass
Mehri Sirous, Azadeh Ebrahimi

Abstract


Burkitt's lymphoma is a lymphatic tumor classified as non-Hodgkin lymphoma with small non cleaved cells. The disease has an incidence of two cases per million patients in North America, and usually present with an intra-abdominal tumor, or enlarged cervical lymph nodes. Massive amounts of peritoneal and plural fluid is rarely seen in these patients. A three year-old girl presented with massive pleural effusion, ascites, mesenteric infiltration, and intraperitoneal mass is discussed in this report. Burkitt's lymphoma is a highly aggressive tumor with a very rapid growth and a variety of different presentations. It is potentially curable, if highly intensive multidrug chemotherapy is used with aggressive central nervous system prophylaxis.


Keywords


Burkitt lymphoma; pleural effusion; ascitic fluid

Full Text:

PDF

References


Perkins SL, Segal GH, Kjeldsberg CR. Classification of non-Hodgkin's lymphomas in children. Semin Diagn Pathol 1995;12(4):303-13.

Lehmann LE, Anupindi S, Harris NL. Case records of the Massachusetts General Hospital. Weekly clinicopathologicalexercises. Case 18-2003. A 15-year-old girl with pain inthe left leg and back, pruritus, and thoracic lymphadenopathy. N Engl J Med 2003;348(24):2443-51.

Blum KA, Lozanski G, Byrd JC. Adult Burkitt leukemia and lymphoma. Blood 2004;104(10):3009-20.

Holland J, Cada M, Ling SC, Capra ML, Bernstein S. Melena: a rare presentation of childhood Burkitt's lymphoma. CMAJ 2005;173(3):247-8.

Harris NL, Jaffe ES, Diebold J, Flandrin G, Muller- Hermelink HK, Vardiman J, et al. World Health Organization classification of neoplastic diseases of the hematopoietic and lymphoid tissues: report of the Clinical Advisory Committee meeting-Airlie House, Virginia, November1997. J Clin Oncol 1999;17(12):3835-49.

Armitage JO, Weisenburger DD. New approach to classifying non-Hodgkin's lymphomas: clinical featuresof the major histologic subtypes. Non-Hodgkin's Lymphoma Classification Project. J Clin Oncol 1998;16(8):2780-95.

Hecht JL, Aster JC. Molecular biology of Burkitt's lymphoma. J Clin Oncol 2000;18(21):3707-21.

Burkitt DP. The discovery of Burkitt's lymphoma. Cancer 1983;51(10):1777-86.

Boerma EG, van Imhoff GW, Appel IM, Veeger NJ, Kluin PM, Kluin-Nelemans JC. Gender and age-related differences in Burkitt lymphoma: epidemiological and clinicaldata from The Netherlands. Eur J Cancer2004;40(18):2781-7.

Wright DH. What is Burkitt's lymphoma? J Pathol 1997;182(2):125-7.

Diebold J, Jaffe E, Raphael M, Warnke R. Burkitt lymphoma. In: Jaffe E, Harris N, Stein H, Vardiman J, editors. Pathology and Genetics of Tumours of Haematopoietic and Lymphoid Tissues. France, Lyon: IARC Press; 2001. p. 181-4.

Burmeister T, Schwartz S, Horst HA, Rieder H, GökbugetN, Hoelzer D, et al. Molecular heterogeneity of sporadicadult Burkitt-type leukemia/lymphoma as revealed by PCR and cytogenetics: correlation with morphology, immunology and clinical features. Leukemia 2005;19(8):1391-8.

Gong JZ, Stenzel TT, Bennett ER, Lagoo AS, Dunphy CH, Moore JO, et al. Burkitt lymphoma arising in organ transplant recipients: a clinicopathologic study of five cases. Am J Surg Pathol 2003;27(6):818-27.

Xicoy B, Ribera JM, Esteve J, Brunet S, Sanz MA, Fernández-Abellán P, et al. Post-transplant Burkitt's leukemia or lymphoma. Study of five cases treated with specific intensive therapy (PETHEMA ALL-3/97 trial). Leuk Lymphoma 2003;44(9):1541-3.

Doll DC, List AF. Burkitt's lymphoma in a homosexual.Lancet 1982;1(8279):1026-7.

Knowles DM. Etiology and pathogenesis of AIDS-relatednon-Hodgkin's lymphoma. Hematol Oncol Clin North Am 2003;17(3):785-820.

Ladjadj Y, Philip T, Lenoir GM, Tazerout FZ, Bendisari K, Boukheloua R, et al. Abdominal Burkitt-type lymphomas in Algeria. Br J Cancer 1984;49(4):503-12.

Yano T, van Krieken JH, Magrath IT, Longo DL, Jaffe ES, Raffeld M. Histogenetic correlations between subcategories of small noncleaved cell lymphomas. Blood 1992;79(5):1282-90.

Cairo MS, Sposto R, Perkins SL, Meadows AT, Hoover- Regan ML, Anderson JR, et al. Burkitt's and Burkitt-like lymphoma in children and adolescents: a review of the Children's Cancer Group experience. Br J Haematol 2003;120(4):660-70.


Refbacks

  • There are currently no refbacks.


Creative Commons Attribution-NonCommercial 3.0

This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.