Korean J Med.  1998 Feb;54(2):266-271.

A case of Burkitt's lymphoma cell leukemia in primary gastric lymphoma

Affiliations
  • 1Department of Internal Medicine, Wallace Memorial Baptist Hospital, Pusan, Korea.
  • 2Department of Anatomical Pathology, Wallace Memorial Baptist Hospital, Pusan, Korea.

Abstract

Burkitt's lymphoma is a distinct clinical entity classified as an undifferentiated lymphoma of B-lymphocytic origin. Burkitt's lymphoma cell leukemia occurs when Burkitt's lymphoma cells represent more than 20% of marrow cells and exceed about 5000/ul in blood. We report a case of Burkitt's lymphoma cell leukemia in primary gastric lymphoma in 55-year-old man with 5kg of weight loss for 2 months and epigastric pain for 3 days. Primary gastric lymphoma was diagnosed by biopsies with gastrofiberoscopy and upper abdominal CT scan in this patient. During admission, peripheral blood smear revealed sudden increase in abnormal blasts with multiple vacuoles. Burkitt's lymphoma cell leukemia was diagnosed by peripheral blood smear, bone marrow aspiration and biopsy, immunophenotyping and cytogenetic analysis in this patient. For its great rarity, we report this case with review of literature.

Keyword

Primary gastric lymphoma Burkitt's lymphoma cell leukemia

MeSH Terms

Biopsy
Bone Marrow
Burkitt Lymphoma*
Cytogenetic Analysis
Humans
Immunophenotyping
Leukemia*
Lymphoma*
Lymphoma, Non-Hodgkin
Middle Aged
Tomography, X-Ray Computed
Vacuoles
Weight Loss
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