%0 Case Reports
%T [Solitary splenic neoplasm as an unusual presentation in an adolescent with sporadic Burkitt lymphoma].
%A Diaz-Torres CJ
%A Abanto Hinostroza R
%J Andes Pediatr
%V 95
%N 3
%D 2024 Jun
%M 39093215
暂无%R 10.32641/andespediatr.v95i3.4824
%X Burkitt lymphoma is a non-Hodgkin B-cell lymphoma with a high prevalence in the pediatric population. Abdominal manifestations are well known in sporadic Burkitt lymphoma and vary from nonspecific symptoms to intestinal obstruction due to intussusception; however, mass-like splenic involvement has been scarcely described.<BR><B>OBJECTIVE: </B>To present a case of a patient with a splenic mass whose histopathological analysis revealed Burkitt lymphoma.<BR><B>METHODS: </B>A 13-year-old female patient presented with abdominal pain, progressive weight loss, and fever. Imaging studies showed a splenic mass, intestinal thickening, and ileal intussusception. Histopathological analysis of spleen biopsy revealed Burkitt lymphoma. After the first cycle of chemotherapy (BFM95-NHL protocol), abdominal symptoms resolved; no other signs suggestive of intussusception were observed, as well as a significant reduction of the splenic mass was observed.<BR><B>CONCLUSIONS: </B>Burkitt lymphoma in pediatric patients can present as a well-defined splenic tumor, causing no splenomegaly. In addition, its management does not require surgery since it can be resolved with chemotherapy.