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[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

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|December 5, 2002
PubMed
Summary
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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.

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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.