Sangma Mima Maychet B, Dasiah Simon D, Ashok Aju James
Associate Professor, Department of General Surgery, Indira Gandhi Medical College & Research Institute , Pondicherry, India .
Professor and Head, Department of General Surgery, Indira Gandhi Medical College & Research Institute , Pondicherry, India .
J Clin Diagn Res. 2016 Apr;10(4):PD11-2. doi: 10.7860/JCDR/2016/19105.7582. Epub 2016 Apr 1.
Burkitt's lymphoma is an uncommon and aggressive type of Non-Hodgkin's lymphoma and is one of the fastest growing cancer tumour in humans; growth fraction close to 100%. We report a case of a young adult female presented with acute pain abdomen with ileo-caecal mass. On clinical presentation, initial diagnosis was acute appendicitis with lump formation. Ultrasound reported as diffuse inflammatory changes and later CECT was done which reported as Gastro-Intestinal Stromal Tumour (GIST). On laparotomy, a huge hard mass was found on ileo-caecal region and right hemicolectomy was done. Diagnosis was confirmed as Non-Hodgkins Burkitt's Lymphoma by HPE and immunohistochemistry testing. So, careful workup is the key to initiate early treatment. This patient had complete remission after the right hemicolectomy followed by multiagent chemotherapy.
伯基特淋巴瘤是一种罕见且侵袭性的非霍奇金淋巴瘤,是人类生长速度最快的癌症肿瘤之一;增殖分数接近100%。我们报告一例年轻成年女性病例,该患者表现为急性腹痛伴回盲部肿块。临床表现时,初步诊断为急性阑尾炎伴肿块形成。超声报告为弥漫性炎症改变,随后进行了CT增强扫描,报告为胃肠道间质瘤(GIST)。剖腹手术时,在回盲部区域发现一个巨大的硬块,并进行了右半结肠切除术。通过苏木精-伊红染色(HPE)和免疫组织化学检测确诊为非霍奇金伯基特淋巴瘤。因此,仔细的检查是启动早期治疗的关键。该患者在右半结肠切除术后接受多药化疗后完全缓解。