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Published on: September 12, 2019
Primary Burkitt lymphoma of the uterine corpus
C Keller1, D G Savage, M Rusta-Villa
1Department of Pathology, College of Physicians and Surgeons, Columbia University, New York 10032, USA.
Insights
This case study documents the first instance of sporadic Burkitt lymphoma confined to the uterus. The findings highlight that this cancer can appear in unusual locations with varied symptoms.
Area of Science:
- Oncology
- Gynecologic Pathology
Background:
- Sporadic Burkitt lymphoma is an aggressive non-Hodgkin lymphoma.
- Uterine corpus involvement is exceptionally rare.
Observation:
- A 40-year-old woman presented with vaginal bleeding.
- Endometrial biopsy revealed medium-sized lymphocytes consistent with Burkitt lymphoma.
- Genetic analysis confirmed the characteristic t(8;14) translocation.
Findings:
- The Burkitt lymphoma was confined to the uterine corpus.
- No extra-uterine disease was detected.
- The patient achieved remission after hysterectomy and chemotherapy.
Implications:
- Burkitt lymphoma can manifest as isolated, organ-confined disease.
- Unusual presentations and symptoms are possible.
- This case expands the understanding of lymphoma localization.
Abstract:
This study reports the first well-documented case of sporadic Burkitt lymphoma arising in and confined to the uterine corpus in a 40-year-old woman who presented with vaginal bleeding. Endometrial curettings showed a diffuse infiltrate of medium sized lymphocytes with the characteristic morphologic and immunophenotypic features of Burkitt lymphoma. Fluorescence in-situ hybridization demonstrated the t(8;14)(q24;q32) translocation. There was no evidence of extra-uterine disease and the patient is alive without disease 10 months after hysterectomy and chemotherapy. This report demonstrates that Burkitt lymphoma can present as isolated, organ confined disease at unusual sites and with protean symptoms.
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