Diagnostic challenge of Burkitt's lymphoma at early age

M H Nor Fauziah1, M Z Faizah2, C K Loh3

  • 1Hospital Canselor Tunku Muhriz, Department of Radiology, Kuala Lumpur, Malaysia. norfauziahfaizal@gmail.com.

Insights

Diagnosing Burkitt's lymphoma (BL) in children can be challenging. Early detection through imaging like ultrasound and CT scans is crucial for effective treatment and improved survival rates in pediatric oncology.

Area of Science:

  • Pediatric Oncology
  • Medical Imaging
  • Abdominal Diseases

Background:

  • Burkitt's lymphoma (BL) is an aggressive B-cell non-Hodgkin lymphoma.
  • Pediatric abdominal masses present diagnostic challenges, often mimicking infectious or inflammatory conditions.

Observation:

  • A 4-year-old boy presented with subacute abdominal distension.
  • Imaging revealed solid liver masses and intraperitoneal lesions, initially suggesting tuberculosis or liver abscess.

Findings:

  • Liver biopsy and peritoneal fluid analysis confirmed Burkitt's lymphoma (BL).
  • Ultrasound and CT scans demonstrated characteristic features of intraabdominal BL.

Implications:

  • Highlights the diagnostic difficulties of BL in young children.
  • Emphasizes the critical role of early diagnosis and prompt treatment for favorable outcomes in aggressive pediatric tumors.