Burkitt Lymphoma Mimicking as Pancreas Adenocancer With Liver Metastases

Abstract

Primary lymphomas of the pancreas are uncommon and Burkitt lymphoma (BL) involving pancreas is very rare. It is important to recognize this entity because it can resemble adenocarcinoma of the pancreas but its management is entirely different. We describe a case of synchronous pancreatic, duedonal and liver involvement of BL in a 34-year-old man who presented with acute pancreatitis. Abdominal computed tomography revealed a hypoechogenic area within the head of the pancreas and multiple hypoechogenic areas in the liver. Upper gastrointestinal (GI) endoscopy revealed multiple ulcerated polypoid lesions in the duodenum. Percutaneous fine-needle aspiration biopsy of the liver lesions and endoscopic biopsy of duedonal lesions revealed BL. This is an unusual presentation of BL with pancreatic, duedonal and liver involvement which mimicks as pancreas adenocarcinoma with liver and duedonal metastases.




J Med Cases. 2017;8(10):315-317
doi: https://doi.org/10.14740/jmc2899w