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Logo of bmcpediBioMed Centralsearchsubmit a manuscriptregisterthis articleBMC Pediatrics
 
BMC Pediatr. 2012; 12: 113.
Published online Aug 6, 2012. doi:  10.1186/1471-2431-12-113
PMCID: PMC3439712
Burkitts’s lymphoma – an atypical presentation
Farah Ziade,1 Nicolas von der Weid,2 Maja Beck-Popovic,2 and Andreas Nydeggercorresponding author1
1Pediatric Gastroenterology Unit, Department of Pediatrics, University of Lausanne, Centre Hospitalier Universitaire Vaudois, Rue du Bugnon 46, CH-1011, Lausanne, Switzerland
2Pediatric Hematology/Oncology Unit, Department of Pediatrics, University of Lausanne, Centre Hospitalier Universitaire Vaudois, Rue du Bugnon 46, CH-1011, Lausanne, Switzerland
corresponding authorCorresponding author.
Farah Ziade: farah.ziade/at/chuv.ch; Nicolas von der Weid: nicolas.von-der-weid/at/chuv.ch; Maja Beck-Popovic: maja.beck-popovic/at/chuv.ch; Andreas Nydegger: andreas.nydegger/at/chuv.ch
Received May 1, 2012; Accepted July 30, 2012.
Abstract
Background
In female adolescents and young adults, malignancies of the genital tract are the most frequent type of cancer, closely followed by Hodgkin’s and non-Hodgkin’s lymphomas.
Case Presentation
We report an unusual case of sporadic Burkitt’s lymphoma (BL) presenting with massive bilateral ovarian infiltration, peritoneal carcinomatosis and diffuse nodular lesions of the stomach and the intestine mimicking Krukenberg tumor. Diagnostic biopsies were obtained by endoscopy of the upper gastrointestinal tract. With intensive chemotherapy, complete remission was rapidly achieved, without life-threatening tumor lysis syndrome.
Conclusion
Besides metastatic gastric adenocarcinoma, BL is an important differential diagnosis in adolescents presenting with Krukenberg tumor.
Keywords: Burkitt’s lymphoma, Gastric, Stomach, Adolescent, Epstein barr virus, Krukenberg tumor
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