Adult abdominal Burkitt lymphoma with isolated peritoneal involvement

J Radiol Case Rep. 2014 Jan 1;8(1):27-33. doi: 10.3941/jrcr.v8i1.1400. eCollection 2014 Jan.

Abstract

Burkitt lymphoma is a fast-growing high grade B-cell neoplasm that rarely affects adults. Three clinical variants are described in the World Health Organization classification: endemic, sporadic, and immunodeficiency-associated. The non-endemic form typically presents as an abdominal mass in children. Symptoms usually occur due to mass effect or direct intestinal involvement. We describe a very unusual presentation of a sporadic Burkitt lymphoma case in a 61-year-old male with diffuse peritoneal and omental involvement, without lymphadenopathies, mimicking peritoneal carcinomatosis.

Keywords: Burkitt lymphoma; multidetector computed tomography; omental caking; peritoneal neoplasm.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Abdomen / pathology
  • Antineoplastic Combined Chemotherapy Protocols
  • Burkitt Lymphoma / drug therapy
  • Burkitt Lymphoma / pathology*
  • Carcinoma / diagnosis*
  • Cyclophosphamide
  • Diagnosis, Differential
  • Doxorubicin
  • Endoscopy, Digestive System
  • Humans
  • Laparotomy
  • Male
  • Methotrexate
  • Middle Aged
  • Omentum / pathology*
  • Peritoneal Neoplasms / diagnosis*
  • Peritoneum / pathology*
  • Prednisone
  • Tomography, X-Ray Computed*
  • Vincristine

Substances

  • Vincristine
  • Doxorubicin
  • Cyclophosphamide
  • Prednisone
  • Methotrexate

Supplementary concepts

  • MEVAP protocol