以大量胃肠道出血为表现的播散性伯基特淋巴瘤。
Disseminated Burkitt lymphoma presenting as massive gastrointestinal bleed.
作者信息
Harne Prateek Suresh, Macklin Jared, Muniraj Thiruvengadam
机构信息
Department of Internal Medicine, State University of New York Upstate Medical UniversitySyracuseNew York.
Connecticut Gastroenterology ConsultantsGuilfordConnecticut.
出版信息
Proc (Bayl Univ Med Cent). 2020 Apr 20;33(3):433-435. doi: 10.1080/08998280.2020.1747835. eCollection 2020 Jul.
Burkitt lymphoma is a rare, highly aggressive non-Hodgkin lymphoma with increasing incidence. Here we present a 26-year-old man with a history of a recent root canal who presented with 2 days of black, tarry stools, persistent tooth pain, and 2 weeks of fatigue, night sweats, and a 20-pound weight loss. He developed massive hematemesis while hospitalized and an esophagogastroduodenoscopy revealed innumerable, doughnut-shaped masses with central umbilication throughout the stomach, which were also the source of bleeding. Targeted biopsies revealed Burkitt lymphoma. After prompt chemotherapy treatment, repeat endoscopy showed complete resolution of all gastric masses, and the mucosa appeared normal.
伯基特淋巴瘤是一种罕见的、侵袭性很强的非霍奇金淋巴瘤，发病率呈上升趋势。在此，我们报告一名26岁男性，近期有根管治疗史，出现2天的黑色柏油样便、持续性牙痛，以及2周的乏力、盗汗和体重减轻20磅。他在住院期间发生大量呕血，食管胃十二指肠镜检查发现胃内有无数个中央凹陷的甜甜圈状肿物，也是出血的来源。靶向活检显示为伯基特淋巴瘤。经过及时的化疗治疗，重复内镜检查显示所有胃肿物完全消退，黏膜外观正常。
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