title: Primary cardiac burkitt lymphoma presenting with abdominal pain.
abstract: We describe the case of a 44-year-old woman with primary Burkitt lymphoma of the heart who presented with abdominal bloating and epigastric discomfort secondary to tamponade physiology caused by a large pericardial effusion. The pericardial fluid contained a large number of highly atypical lymphocytes with moderate basophilic cytoplasm, rare punched-out vacuoles, a vesicular nuclear chromatin, large nucleolus, and marginated chromatin that by FISH were positive for the 8;14 translocation. She had no other sites of disease. She was treated with four alternating cycles of modified CODOX-M and IVAC in combination with rituximab and remains in remission more than 5 years since diagnosis.
authors.affiliation: Cedars-Sinai Medical Center, 8700 Beverly Boulevard, AC1046-A, Los Angeles, CA 90048, USA.
authors.forename: Dimitrios
authors.identifier: 0000-0003-4515-4428
authors.initials: D
authors.lastname: Tzachanis
authors.affiliation: Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215, USA.
authors.forename: Rajan
authors.initials: R
authors.lastname: Dewar
authors.affiliation: Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215, USA.
authors.forename: Katarina
authors.initials: K
authors.lastname: Luptakova
authors.affiliation: Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215, USA.
authors.forename: James D
authors.initials: JD
authors.lastname: Chang
authors.affiliation: Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215, USA.
authors.forename: Robin M
authors.initials: RM
authors.lastname: Joyce