Abstract
Giriş: Sıklıkla ekstranodal tutulum gösteren Burkitt Lenfoma,
Hodgkin dışı lenfomaların agresiv davranış gösterenlerinden
biridir.
Olgu Sunumu: On yedi yaşında erkek hasta karın ağrısı şikayeti
ile acil kliniğine başvurdu. Sağ alt kadranda hassasiyeti belirgindi
ancak defans ve rebound bulgusu şüpheliydi. İlk bakılan
hemogram değerinde lökosit sayısı normal sınırlarda olan
hastaya çekilen batın ultrasonografi ve intravenöz kontrastlı batın
tomografisinde çekum etrafında periintestinal mayi ve patolojik
lenf nodları mevcuttu. Takip ve tedavi amacıyla kliniğe yatırılan
hastanın beyaz küre değerinin 18200/µL’e (nötrofil %89,7)
yükselmesi nedeniyle acil operasyona alındı. Çekumun yaklaşık
4-5 cm proksimalinde lümen içerisini dolduran palpasyonda
yumuşak kıvamda, lümeni tama yakın tıkamış kitle lezyon Burkitt
lenfoma olarak rapor edildi.
Sonuç: İntestinal lenfomaların rutin radyolojik yöntemler ile tanısı
zordur. Acil servise gelen ve akut batın tablosuna sahip hastalarda
alternatif tanılar da akılda bulundurulmalıdır
Keywords
References
- Zinzani PL, Magagnoli M, Pagliani G, Bendandi M, Gherlinzoni F, Merla E, Salvucci M, Tura S. Primary Intestınal Lymphoma: Clınıcal and Therapeutic Features of 32 Patıents. Haematologica 1997; 82: 305-308.
- Jaffe ES, Harris NL, Stein H, Vardiman JW. WHO classification tumours of haematopoietic and lymphoid tissue. Lyon: IARC Press; 2001.
- Knowles DM. Neoplastic Hematopathology. 2nd ed. Philadelphia: Lippincot Williams-Wilkins; 2001.
- Dilworth HP. Neoplasms of the Small Intestine. In:Lacobuzio- Donahue CA, Montgomery EA, Gastrointestinal and Liver Pathology. Goldblum JR, ed. Pennsylvania: Churchıll Livingstone; 2005. p.187-203.
- Gascoyne RD, Muller-Hermeling HK, Chott A, WotherspoonA. Tumours of small intestine. Pathology and genetics oftumours of the digestive system. Lyon: Edited by Hamilton SR, Aaltonen LA: IARC Pres; 2000. p.83-89.
- Isaacson PG. Gastrointestınal Lymphoma. Hum Pathol 1994; 25: 1020. [CrossRef]
- Dawson IM, Cornes J, Morson BC. Primary malignant tumors of the intestinal tract. Report of 37 cases with a study of factors influencing prognosis. Br J Surg 1961; 49: 80-9. [CrossRef]
- Albayrak D, İbis AC, Hatipoğlu AR, Polat N, Hoscoskun Z. Perfore Primer İnce Barsak Lenfoması: Olgu Sunumu. Trakya Univ Tıp Fak Derg 2008; 25: 60-4.
- Crump M, Gospodarowicz M, Shepherd FA. Lymphoma of the gastrointestinal tract. Semin Oncol 1999; 26: 324-37.
- Domizio P, Owen RA, Shepherd NA, Talbot IC, Norton AJ. Primary lymphoma of the small intestine. A clinicopathological study of 119 cases. Am J Surg Pathol 1993, 17: 429. [CrossRef]
Abstract
Introduction: Burkitt lymphoma, one of the non-Hodgkin's lymphomas with aggressive behavior, frequently shows extranodal involvement.Case Report: A 10 year-old male patient admitted to the emergency department with abdominal pain. He had significant right lower quadrant tenderness, but abdominal guarding and rebound tenderness signs were not clear. On admission, patient’s white blood cell count was in normal range. Abdominal ultrasonography and intravenous contrast-enhanced abdominal computed tomography revealed periintestinal fluid around the cecum and pathological lymph nodes. The patient was hospitalized to the general surgery clinic for follow-up and treatment. Because of the patient's white blood cell count increased to 18200/μL (neutrophils 89.7%) in follow-up he was operated urgently. A mass lesion which is localized approximately 4-5 cm proximal to the cecum and filling the lumen was detected. It had soft consistency on palpation and obstructed the lumen almost complete. The lesion was reported as Burkitt's lymphoma. Conclusion: It is difficult to diagnose intestinal lymphoma with routine radiological methods. An alternative diagnosis should be kept in mind in the patients who admitted to the emergency department with acute abdomen
Keywords
References
- Zinzani PL, Magagnoli M, Pagliani G, Bendandi M, Gherlinzoni F, Merla E, Salvucci M, Tura S. Primary Intestınal Lymphoma: Clınıcal and Therapeutic Features of 32 Patıents. Haematologica 1997; 82: 305-308.
- Jaffe ES, Harris NL, Stein H, Vardiman JW. WHO classification tumours of haematopoietic and lymphoid tissue. Lyon: IARC Press; 2001.
- Knowles DM. Neoplastic Hematopathology. 2nd ed. Philadelphia: Lippincot Williams-Wilkins; 2001.
- Dilworth HP. Neoplasms of the Small Intestine. In:Lacobuzio- Donahue CA, Montgomery EA, Gastrointestinal and Liver Pathology. Goldblum JR, ed. Pennsylvania: Churchıll Livingstone; 2005. p.187-203.
- Gascoyne RD, Muller-Hermeling HK, Chott A, WotherspoonA. Tumours of small intestine. Pathology and genetics oftumours of the digestive system. Lyon: Edited by Hamilton SR, Aaltonen LA: IARC Pres; 2000. p.83-89.
- Isaacson PG. Gastrointestınal Lymphoma. Hum Pathol 1994; 25: 1020. [CrossRef]
- Dawson IM, Cornes J, Morson BC. Primary malignant tumors of the intestinal tract. Report of 37 cases with a study of factors influencing prognosis. Br J Surg 1961; 49: 80-9. [CrossRef]
- Albayrak D, İbis AC, Hatipoğlu AR, Polat N, Hoscoskun Z. Perfore Primer İnce Barsak Lenfoması: Olgu Sunumu. Trakya Univ Tıp Fak Derg 2008; 25: 60-4.
- Crump M, Gospodarowicz M, Shepherd FA. Lymphoma of the gastrointestinal tract. Semin Oncol 1999; 26: 324-37.
- Domizio P, Owen RA, Shepherd NA, Talbot IC, Norton AJ. Primary lymphoma of the small intestine. A clinicopathological study of 119 cases. Am J Surg Pathol 1993, 17: 429. [CrossRef]
Details
| Other ID | JA99TU67ZV |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | July 1, 2014 |
| Submission Date | July 1, 2014 |
| Published in Issue | Year 2014 Volume: 5 Issue: 7 |