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Published on: May 4, 2022
[Rectal localization of Burkitt's lymphoma]
S Blanc1, Y Bertrand, S Lorthois-Ninou
1Service de radiologie pédiatrique hôpital Debrousse, 29, rue Soeur-Bouvier 69322 Lyon, France. Julie.blanc@free.fr
Summary
Pediatric rectal tumors, like Burkitt's lymphoma, are rare. Early diagnosis of rectal masses presenting as hematochezia and constipation is crucial for survival in children.
Area of Science:
- Pediatric oncology
- Gastrointestinal pathology
Background:
- Malignant rectal tumors are exceptionally rare in children.
- Primary rectal lymphomas represent a small subset of these rare pediatric malignancies.
- Burkitt's lymphoma is a documented, though infrequent, cause of pediatric rectal tumors.
Observation:
- A five-year-old child presented with hematochezia and unusual constipation.
- Physical examination revealed a significant intra-rectal mass.
- Diagnostic workup confirmed Burkitt's lymphoma with bone marrow involvement.
Findings:
- The child achieved initial remission following chemotherapy.
- A local relapse of the Burkitt's lymphoma occurred.
- The patient succumbed to the disease eight months post-diagnosis.
Implications:
- Hematochezia and unusual constipation in children warrant a thorough rectal examination.
- Prompt identification of rectal tumors in pediatric patients can significantly impact survival outcomes.
- This case underscores the aggressive nature of pediatric rectal Burkitt's lymphoma and the need for vigilant follow-up.
