title: Burkitt lymphoma associated with large gastric folds, pancreatic involvement, and biliary tract obstruction.
abstract: Large gastric folds in adults are seen in many benign and malignant conditions, but they are rare in children with malignant diseases such as non-Hodgkin lymphoma. The authors report a patient with non-Hodgkin lymphoma who had large gastric folds and jaundice as the initial symptoms. A 14-year-old boy was referred to the authors' hospital with upper abdominal pain and jaundice. A standard barium upper gastrointestinal series showed large gastric folds in the entire stomach. Magnetic resonance imaging showed a typical diffuse infiltrating type of pancreatic lymphoma. Because complete bilateral lower limb paralysis developed as a result of the epidural soft tissue mass, laminectomy and tumor resection were performed and a diagnosis of disseminated Burkitt lymphoma was established. After completing 6 months of chemotherapy, the patient has been disease-free without neurologic complications for 2.5 years.
authors.affiliation: Division of Hematology, Department of Pediatrics, Dokkyo University School of Medicine, Tochigi, Japan. hidekuro@dokkyomed.ac.jp
authors.forename: Hidemitsu
authors.initials: H
authors.lastname: Kurosawa
authors.forename: Takayuki
authors.initials: T
authors.lastname: Matsunaga
authors.forename: Hagane
authors.initials: H
authors.lastname: Shimaoka
authors.forename: Yuya
authors.initials: Y
authors.lastname: Sato
authors.forename: Shigeko
authors.initials: S
authors.lastname: Kuwashima
authors.forename: Kenichi
authors.initials: K
authors.lastname: Sugita
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Hagane
authors.forename: Mitsuoki
authors.initials: M
authors.lastname: Eguchi
mesh_terms: D000293:Adolescent; D000970:Antineoplastic Agents / Q000627:therapeutic use; D002051:Burkitt Lymphoma / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D002779:Cholestasis / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D005753:Gastric Mucosa / Q000473:pathology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010190:Pancreatic Neoplasms / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D014057:Tomography, X-Ray Computed
chemical_list: D000970:Antineoplastic Agents