成人散发型腹部伯基特淋巴瘤一例报告并文献复习

Sporadic Abdominal Burkitt’s Lymphoma in Adults:A Case Report and Literature Review

目的探讨一例成人散发型腹部伯基特淋巴瘤临床、影像特征,提高对该肿瘤的认识。方法回顾性分析本院一例成人散发型腹部伯基特淋巴瘤患者临床、影像学资料,并复习国内外有关文献,探讨其临床、影像学特点。结果患者男性,87岁,因腹痛不适,近一天疼痛加剧就诊,超声示左肾周围肿物,CT示左侧腹膜后团块状软组织肿块,横结肠左侧段肠壁增厚,增强呈不均匀轻中度强化。穿刺取病理,结合光镜及免疫组化,考虑伯基特淋巴瘤。结论成人散发型伯基特淋巴瘤属于少见、罕见病,确诊主要依靠病理及免疫组化,具有一定影像特征,充分认识有利于提高诊断。

Objective To explore the clinical and imaging features of a case of sporadic abdominal Burkitt’s lymphoma in adults and to improve the understanding of this tumor.Methods The clinical and imaging data of an adult patient with sporadic abdominal Burkitt’s lymphoma were analyzed retrospectively,and the relevant literatures at home and abroad were reviewed to explore the clinical and imaging characteristics.Results The patient,an 87-year-old male,visited the doctor due to abdominal pain and discomfort.The pain worsened in the past day.Ultrasound showed a mass around the left kidney,CT showed a massive soft tissue mass in the left retroperitoneal mass,and the intestinal wall thickened in the left transverse colon segment with uneven mild to moderate enhancement.Burkitt's lymphoma was considered by puncture pathology combined with light microscopy and immunohistochemistry.Conclusion Sporadic Burkitt’s lymphoma in adults is a rare disease.The diagnosis mainly depends on pathology and immunohistochemistry.It has certain image characteristics and it is helpful to improve diagnosis.