A rare case of Burkitt’s lymphoma in paranasal sinuses in a child

Teresa Ryczer, *Lidia Zawadzka-Głos

Summary
Introduction. Burkitt’s lymphoma is a malignant tumor of lymphatic system that originates from B lymphocytes in germinal center of lymph nodes. There may be different clinical types of Burkitt’s lymphoma. Clinical manifestation of disease can involve different localization.
Aim. The aim of the study is to present a rare case of a 4.5-year-old patient With Burkitt’s lymphoma of craniofacial localization with paranasal sunus involvement.
Material and methods. The patient with Burkitt’s lymphoma was hospitalized in the Department of Pediatric Otolaryngology of Medical University of Warsaw in may 2013. Signs and symptoms, results of diagnostic examinations and treatment will be discussed. Available medical record of the patient and diagnostic images were used to prepare the case report.
Results. A 4.5-year-old male patient was admitted to the Pediatric ENT Department due to painless swelling and erythema of the right cheek that persisted for a week. ENT examination revealed edema and erythema of the right cheek, neck lymphadenopathy with no other abnormalities. CT of paranasal sinuses showed vast, soft-tissued mass in the right maxillary sinus, with no contrast enhancement, infiltrating orbita, optic nerve, pterygopalatine fossa. The result of the biopsy was Burkitt’s lymphoma.
Conclusions. Malignant tumors of head and neck in children are rare. First symptoms of Burkitt’s lymphoma may be localized in craniofacial area, thus, especially general practicioners and pediatricians should be aware of careful diagnostic procedures and treatment in these patients. Computed tomography with contrast should be performed in case of any non-specific anomaly in head area. Chemotherapy is treatment of choice in Burkitt’s lymphoma.

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