Medicine · 2025
Acute abdominal pain as the initial presenting symptom of pediatric Burkitt lymphoma: A case report and literature review.
СтатьяКлинический случайОбзорНазвание и аннотация: Перевод в очереди
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Tan Qing-Lin, Tang Qing, Chen Xiu-Qi, Huang Li, Yun Xiang, Shan Qing-Wen
Аннотация
RATIONALE: Acute abdominal pain is a prevalent clinical symptom in pediatric patients, primarily attributed to pediatric acute abdomen. However, there are rare exceptional instances where neoplastic diseases may cause acute abdominal pain.
PATIENT CONCERNS: The present study encompasses a case of pediatric Burkitt lymphoma wherein acute abdominal pain manifested as the initial symptom, erroneously diagnosed as acute appendicitis.
DIAGNOSES: The immunohistochemistry results of laparoscopic biopsy revealed Burkitt lymphoma, characterized by positive expression of CD20, CD79a, CD10, BCL-6, MUM1, and strong positive expression of CD38, c-myc, cyclinD1, and Ki-67 positive index >90%+.
INTERVENTIONS: The child underwent regular chemotherapy according to the SCCCG-BL/DLBCL-2017 regimen.
OUTCOMES: During the 13-month follow-up period, the patient's obtained complete remission by Positron emission tomography-computed tomography scan.
LESSONS: The objective of this study is to enhance the awareness of clinical pediatricians regarding cases of acute abdominal pain caused by lymphoma.
PATIENT CONCERNS: The present study encompasses a case of pediatric Burkitt lymphoma wherein acute abdominal pain manifested as the initial symptom, erroneously diagnosed as acute appendicitis.
DIAGNOSES: The immunohistochemistry results of laparoscopic biopsy revealed Burkitt lymphoma, characterized by positive expression of CD20, CD79a, CD10, BCL-6, MUM1, and strong positive expression of CD38, c-myc, cyclinD1, and Ki-67 positive index >90%+.
INTERVENTIONS: The child underwent regular chemotherapy according to the SCCCG-BL/DLBCL-2017 regimen.
OUTCOMES: During the 13-month follow-up period, the patient's obtained complete remission by Positron emission tomography-computed tomography scan.
LESSONS: The objective of this study is to enhance the awareness of clinical pediatricians regarding cases of acute abdominal pain caused by lymphoma.