Journal of Clinical Images and Medical Case Reports

ISSN 2766-7820
Clinical Image - Open Access, Volume 4

Unusual presentation of Burkitt lymphoma with late onset secondaries

Praveen Sandeep1; Gopinathan2; Aarthi Deepesh3; Milly Mathew4; Georgi Abraham5*

1Registrar, Department of Nephrology, MGM HealthCare, Chennai, India.

2Department of Hematologist, MGM HealthCare, Chennai, India.

3Department of Neuroimaging and Interventional Radiology, MGM HealthCare, Chennai, India.

4Senior Consultant, Department of Nephrologist, MGM HealthCare, Chennai, India.

5Department of Nephrologist, MGM HealthCare, Chennai, India.

*Corresponding Author : Georgi Abraham
Department of Nephrologist, MGM HealthCare, Chennai, India.
Email: [email protected]

Received : May 19, 2023

Accepted : Aug 17, 2023

Published : Aug 24, 2023

Archived : www.jcimcr.org

Copyright : © Abraham G (2023).

Citation: Sandeep P, Gopinathan, Deepesh A, Mathew M, Abraham G. Unusual presentation of Burkitt lymphoma with late onset secondaries. J Clin Images Med Case Rep. 2023; 4(8): 2559.

Clinial image description

The diagnosis of endemic Burkitt lymphoma was made in this 16 year old Sudanese boy by kidney biopsy histopathology (Figure 1) and touch imprint (Figure 2) as the bone and bone marrow biopsies were unremarkable. He was given 7 cycles of R-COPADM1 chemotherapy according to LMB-89 protocol, and he became disease free by PET scan. Subsequently, he presented 3 months later with severe lower back ache and a cauda equina lesion. Figure 3 shows L4-L5 disc prolapse and secondary deposits (red arrow) in the spinal canal. Surgical excision of the disc and the spinal canal lesion done.

Figure 1: Kidney Biopsy Histopathology.
Figure 2: Touch Imprint of kidney biopsy.

Figure 3: MRI Spine showing L4-L5 disc prolapse with arrow showing secondary deposits.