Childhood Burkitt Lymphoma: Abdominal and Pelvic Imaging Findings

Abstract

Numerous abdominal and pelvic imaging findings are seen in Burkitt lymphoma affecting the gastrointestinal tract and solid organs. Recognition of the common and uncommon imaging findings is essential in the diagnosis and treatment of patients with Burkitt lymphoma because prompt therapy is critical.

Pancreatic Involvement of Burkitt Lymphoma in a Child and Review of the Literature

“…Burkitt lymphoma involving the kidneys can result in renal failure secondary to obstruction or tumor infiltration of the kidneys or in paraneoplastic effects that manifest as glomerulonephritis, paraproteinemia, or cryoglobulinemia [5].…”

Imaging features of Burkitt lymphoma in pediatric patients

“…10). Calcification and necrosis of the mesenteric and retroperitoneal masses may be observed in BL (5).…”

“…On the other hand, computed tomography (CT) or magnetic resonance imaging (MRI) not only identifies a possible Waldeyer ring involvement or bone destruction according to the sub-type, but also enables a precise definition of the radiologic extent of the disease for staging (Figs. 4,5). CT is widely available and inexpensive with a short examination time and no need for sedation.…”

“…Infiltrating masses in the periportal area of the liver or in the perihilar area of the kidney may be observed and cause biliary obstruction or ureteropelvic obstruction, respectively ( Fig. 10) (5,8,10). Testicular and ovarian involvement in BL has been reported.…”

“…For testicular involvement, US is the primary imaging modality, which shows diffuse enlargement, parenchymal hypoechogenicity-heterogeneity or focal hypoechoic mass in the testicular parenchyma. Ovarian involvement may be cystic or solid, or mixed, as a focal or large mass (5,8).…”