Okamoto Tatsuya, Sekiya Akane, Daifu Tomoo, Doi Ryuichiro, Kobayashi Hisato
Department of Pediatric Surgery, Otsu Red Cross Hospital, Otsu, Japan.
Department of Pediatrics, Otsu Red Cross Hospital, Otsu, Japan.
J Surg Case Rep. 2018 May 14;2018(5):rjy090. doi: 10.1093/jscr/rjy090. eCollection 2018 May.
Gastrointestinal Burkitt lymphoma (BL) is a highly aggressive malignancy in childhood, and early treatment is critical for its favorable prognosis. Ultrasonography is a widely accepted initial imaging workup; therefore, recognition of the sonographic features of BL should contribute to its early diagnosis and initiation of treatment. We present a 4-year-old boy with primary jejunal BL with intussusception mimicking presentation, in which initial abdominal US allowed sustainable detection and characterization of the intestinal lesion. Jejunotomy was performed and histopathological analysis revealed a 'starry sky' pattern and c-myc split signals characteristic of BL. The patient remains disease-free following chemotherapy.
胃肠道伯基特淋巴瘤（BL）是儿童期一种高度侵袭性的恶性肿瘤，早期治疗对其良好预后至关重要。超声检查是广泛接受的初始影像学检查方法；因此，认识BL的超声特征应有助于其早期诊断和治疗的启动。我们报告一名4岁男孩，患有原发性空肠BL，表现为套叠样表现，最初的腹部超声可持续检测并明确肠道病变特征。进行了空肠切开术，组织病理学分析显示出BL特有的“星空”模式和c-myc分裂信号。化疗后该患者仍无疾病。
