[Ano-rectal symptoms, related to Epstein-Barr Virus-Associated Burkitt's lymphoma in an immunocompetent patient].
We report the case of an immunocompetent 23-year-old Caucasian woman, with symptoms including rectal bleeding, tenesmus and epreint, 6 months after an anal sexual trauma. The rectal examination showed a hardened, inflammatory and painful anal margin, associated with stenosis of the anal canal, suggesting abscess. The neurological examination showed numbing of the chin. Pelvic MRI and CT scan confirmed a bulky posterior tissular pelvic mass more than 7 cm in diameter, infiltrating the rectum and the anal canal. Final diagnosis confirmed by biopsy performed during rectosigmoidoscopy was an Epstein-Barr Virus-Associated Burkitt's lymphoma. Chemotherapy resulted in rapid regression of the tumoral mass.
Degeorges
Stéphane
S
Service d'Hépato-Gastroentérologie, Hôpital de la Croix-Rousse, Lyon, France.
Mesnil
Adeline
A
Marion-Audibert
Anne-Marie
AM
Bouafia-Sauvy
Fadhéla
F
Berger
Françoise
F
Bancel
Brigitte
B
Barnoud
Raphaëlle
R
Rode
Agnès
A
Péré-Vergé
Denis
D
Souquet
Jean-Christophe
JC
D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001706:Biopsy; D002051:Burkitt Lymphoma / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology; D005260:Female; D006801:Humans; D007121:Immunocompetence; D008279:Magnetic Resonance Imaging; D012007:Rectum / Q000473:pathology; D012812:Sigmoidoscopy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome