Burkitt's lymphoma with intussusception mimicking a colonic polyp
1Department of Pediatrics, College of Medicine, National Taiwan University, Taipei, R.O.C.
Zhonghua Minguo Xiao Er Ke Yi Xue Hui Za Zhi [Journal]. Zhonghua Minguo Xiao Er Ke Yi Xue Hui
|September 1, 1996
Summary
A rare case of pediatric Burkitt's lymphoma presented as a wide-based colonic polyp, causing intussusception. Early diagnosis and chemotherapy led to a positive outcome, highlighting the importance of considering lymphoma in pediatric cases.
Area of Science:
- Gastroenterology
- Pediatric Oncology
- Surgical Pathology
Background:
- Colonic polyps in children can present with diverse symptoms, including painless bloody stools.
- Intussusception is a common cause of bowel obstruction in pediatric patients, often requiring surgical intervention.
Observation:
- A 2-year-old boy presented with painless bloody stools and was diagnosed with an ulcerative, wide-based polyp in the ascending colon.
- Colonoscopy revealed a large polyp, leading to surgery for intussusception.
- Pathological examination confirmed the polyp to be a rare case of polypoid Burkitt's lymphoma.
Findings:
- This case highlights an unusual presentation of Burkitt's lymphoma as a colonic polyp.
- The patient successfully underwent chemotherapy and remains well 20 months post-treatment.
Implications:
- Burkitt's lymphoma should be considered in the differential diagnosis of wide-based polypoid masses in the ascending colon in children.
- The combination of colonic polyps and intussusception in pediatric patients warrants thorough investigation for underlying malignancy.
- This case underscores the importance of integrating clinical, endoscopic, and pathological findings for accurate diagnosis and management of rare pediatric gastrointestinal conditions.
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