Disseminated Burkitt’s Lymphoma with a Pancreatic Mass in a HIV Positive Woman Diagnosed by Axillary Lymph Node Biopsy
Published: August 1, 2017 | DOI: https://doi.org/10.7860/JCDR/2017/27456.10493
Godfrey Mutashambara Rwegerera, Yordanka Pina Rivera, Feng Zhou, Kudra Jumanne Chobanga,
Sheikh Omar Sesay
1. Senior Lecturer, Department of Internal Medicine, Faculty of Medicine, University of Botswana and Princess Marina Hospital, Gaborone, Botswana.
2. Lecturer, Department of Internal Medicine, Faculty of Medicine, University of Botswana and Princess Marina Hospital, Gaborone, Botswana.
3. Pathologist, Department of Histopathology, National Health Laboratory Gaborone, Botswana.
4. Lecturer, Department of Obstetrics and Gynecology, Faculty of Medicine, University of Botswana and Princess Marina Hospital, Gaborone, Botswana.
5. Consultant, Department of Radiology, Princess Marina Hospital, Gaborone, Botswana.
Correspondence
Dr. Godfrey Mutashambara Rwegerera,
Private Bag 00713, 4775 Notwane Road. Gaborone, Botswana.
E-mail: grwege@yahoo.com
Burkitt’s Lymphoma (BL) is a highly aggressive B cell lymphoma of non-Hodgkin’s type usually presenting in extranodal sites for endemic and sporadic types of the disease. Like other non-Hodgkin’s Lymphomas (NHL), HIV positive associated BL is associated with peripheral lymphadenopathy. We present a case of 22-year-old newly diagnosed HIV positive female patient who presented with generalized peripheral lymphadenopathy and obstructive jaundice. Initial work up was suggestive of acute pancreatitis with further evaluation revealing a pancreatic head mass. BL was confirmed both by axillary lymph node biopsy and immunohistochemistry, highlighting the importance of high index of suspicion and prompt histopathological diagnosis to enable treatment of this fatal disease that is potentially curable.
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