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Published on: January 28, 2020
Paediatric burkitt lymphoma presenting as a mandible swelling and intussusception
S Retinasekharan1, P Sinnathamby2, I Mohamad3
1Penang General Hospital, Department of Otorhinolaryngology, George Town, Pulau Pinang, Malaysia. drsenthilraj@hotmail.com.
Insights
This case report highlights a rare presentation of Burkitt lymphoma in an 11-year-old boy with mandibular swelling. The patient also experienced intussusception, emphasizing the need for vigilance in diagnosing rare pediatric cancers.
Area of Science:
- Pediatric Oncology
- Surgical Pathology
Background:
- Burkitt lymphoma is a rare B-cell non-Hodgkin lymphoma.
- Endemic Burkitt lymphoma typically affects children in specific geographic regions.
Observation:
- An 11-year-old patient presented with a one-month history of mandibular swelling.
- The patient developed acute abdominal pain, leading to a diagnosis of intussusception.
- Surgical intervention included right hemicolectomy and excision of the buccal mass.
Findings:
- Histopathological analysis confirmed Burkitt lymphoma.
- The case demonstrates an unusual presentation of Burkitt lymphoma with concurrent intussusception.
Implications:
- Early recognition and monitoring of jaw lesions are crucial, even in atypical age groups.
- This case underscores the importance of considering rare oncological emergencies in pediatric patients presenting with non-specific symptoms.
Abstract:
Burkitt lymphoma is a rare entity especially in this part of the world. We had an 11-year-old patient presented with swelling of the mandible for a short one-month duration. He was planned for excision biopsy. However developed severe abdominal pain while in the hospital and was diagnosed as intussusception after ultrasound was done. We proceeded with right hemicolectomy and excision of buccal mass. Early recognition and close monitoring of insidious jaw lesions is recommended even in young adults not within the modal age category of endemic Burkitt.
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