title: Burkitt'S lymphoma mimicking a primary gynecologic tumor.
abstract: OBJECTIVE
  Burkitt's lymphoma (BL) occurs mostly in children; bilateral ovarian involvement mimicking a gynecologic malignancy in adults is extremely rare. Here, we report a patient with BL mimicking a gynecologic tumor.
  
  
  METHODS
  A 50-year-old Taiwanese woman presented with the complaint of persistent lower abdominal distension with dull pain, easy satiety, and progressively increasing abdominal girth for 2 weeks. Amenorrhea was also noted for about 2 months, and her review of systems was negative for the common "B" symptoms associated with lymphoma. At our hospital, imaging studies revealed a huge pelvic mass (10.8 x 8.7 cm), suggesting a large subserous myoma or an ovarian tumor. Under the impression of pelvic mass, she underwent exploratory laparotomy. Primary ovarian sex-cord malignancy with cecum involvement was impressed by the primitive intraoperative frozen section report. Subsequently, an optimal cytoreductive operation with right hemicolectomy was performed. However, final histopathologic report was an extranodal multifocal BL.
  
  
  CONCLUSIONS
  Although extranodal BL in ovaries is a rare condition, it should be noted in the differential diagnosis of pelvic gynecologic malignancies.
authors.affiliation: Department of Obstetrics and Gynecology, National Cheng Kung University Medical Center, Tainan, Taiwan.
authors.forename: Szu-Ching
authors.initials: SC
authors.lastname: Lu
authors.forename: Wan-Lin
authors.initials: WL
authors.lastname: Shen
authors.forename: Ya-Min
authors.initials: YM
authors.lastname: Cheng
authors.forename: Chen-Yang
authors.initials: CY
authors.lastname: Chou
authors.forename: Pao-Ling
authors.initials: PL
authors.lastname: Kuo
mesh_terms: D002051:Burkitt Lymphoma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging; D018312:Sex Cord-Gonadal Stromal Tumors / Q000175:diagnosis* / Q000000981:diagnostic imaging; D014463:Ultrasonography