Burkitt's Lymphoma with an Unusual Cardiac Involvement - Video
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Overview
Let me elaborate on the case report. A 13-year-old Muslim boy of Malda (West Bengal) presented with complaints of insidious onset dull aching intermittent abdominal pain and a right-sided neck swelling for 3 months. There was no associated history of fever, rash, anorexia, weight loss, chest pain, palpitations, shortness of breath, or syncope. There was no history of similar illnesses or any chronic diseases in the past. The boy had a normal developmental and birth history. There was no history of consanguinity in the family.
Abdominal sonography was done and it revealed a hypoechoic space occupied lesions occupying the left flank of retroperitoneal origin and multiple enlarged para-aortic lymph nodes. Mild ascites were present. Another hypoechoic space occupied lesions was present at level III of the right side of the neck with partial necrosis and extending up to the right parotid gland. A (2.8 × 1.4 cm) hypoechoic space occupied lesions was incidentally detected at the right atrial wall.
Scrotal sonography showed bilateral testicular enlargements with multiple, vascular, and hypoechoic lesions with distortion of the testicular architecture. Echocardiography was done showing multiple heterogeneous space occupied lesions arising from the interatrial septum.
Histopathologic ally, tumor cells typically had round and oval nuclei and two to five distinct nucleoli. High rates of proliferation and apoptosis were characteristic. Macrophages containing ingested nuclear debris were surrounded by a clear space creating a "starry" sky pattern.
Clinical features and investigations of this case were correlating to Burkitt's lymphoma but cardiac involvement as interatrial septal mass was considered a rare occurrence.
Reference: Bhaumik S, Chatterjee NK, Masud Reza MA, et al. Burkitt's Lymphoma with an Unusual Cardiac Involvement: A Case Report. J Assoc Physicians India 2022;70(9):85–87.
Speakers
Dr. Nandita Mohan is a practicing pediatric dentist with more than 5 years of clinical work experience. Along with this, she is equally interested in keeping herself up to date about the latest developments in the field of medicine and dentistry which is the driving force for her to be in association with Medical Dialogues. She also has her name attached with many publications; both national and international. She has pursued her BDS from Rajiv Gandhi University of Health Sciences, Bangalore and later went to enter her dream specialty (MDS) in the Department of Pedodontics and Preventive Dentistry from Pt. B.D. Sharma University of Health Sciences. Through all the years of experience, her core interest in learning something new has never stopped. She can be contacted at editorial@medicaldialogues.in. Contact no. 011-43720751
Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751