title: Burkitt's Lymphoma Presented as Advanced Ovarian Cancer without Evidence of Lymphadenopathy: CT and MRI Findings.
abstract: Burkitt's lymphoma is a rare non-Hodgkin's lymphoma which can occasionally involve the ovary and may cause confusion for the clinician since its presentation might mimic other much more frequent tumors. We present a case of a 23-year-old woman with sporadic Burkitt's lymphoma presented as advanced ovarian cancer with bilateral ovarian masses, peritoneal carcinomatosis, ascites, and marked elevation of CA-125. Liver involvement and atypical bone lesions, such as the cranial vault and the iliac wing, were also detected without evidence of lymphadenopathy. We describe the MRI and CT findings of simultaneous ovarian and bone lesions, which have never been reported in literature in a patient with Burkitt's lymphoma, before and after one cycle of chemotherapy. In evaluating any ovarian neoplasm in a young woman, Burkitt's lymphoma should be considered as a possibility, particularly if associated with bone lesions. MRI is the most useful tool to characterize the ovarian lesions and suggest the diagnosis before the histopathological results.
authors.affiliation: Department of Radiological Oncological and Anatomopathological Sciences, Umberto I Hospital, "La Sapienza" University of Rome, Viale Regina Elena 324, 00161 Rome, Italy.
authors.forename: Lucia
authors.initials: L
authors.lastname: Manganaro
authors.forename: Silvia
authors.initials: S
authors.lastname: Bernardo
authors.forename: Maria Eleonora
authors.initials: ME
authors.lastname: Sergi
authors.forename: Paolo
authors.initials: P
authors.lastname: Sollazzo
authors.forename: Valeria
authors.initials: V
authors.lastname: Vinci
authors.forename: Alessandra
authors.initials: A
authors.lastname: De Grazia
authors.forename: Anna
authors.initials: A
authors.lastname: Clerico
authors.forename: Maria Giovanna
authors.initials: MG
authors.lastname: Mollace
authors.forename: Matteo
authors.initials: M
authors.lastname: Saldari