Journal of Cytology
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Year : 2010  |  Volume : 27  |  Issue : 3  |  Page : 112
Burkitts lymphoma of the small intestine: A cytological diagnosis


Super Religare Laboratories (Formerly, SRL Ranbaxy Pvt. Ltd.), Clinical Reference Lab, Sector-18, Udyog Vihar, Gurgaon, India

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Date of Web Publication21-Oct-2010
 

How to cite this article:
Sachdev R. Burkitts lymphoma of the small intestine: A cytological diagnosis. J Cytol 2010;27:112

How to cite this URL:
Sachdev R. Burkitts lymphoma of the small intestine: A cytological diagnosis. J Cytol [serial online] 2010 [cited 2020 Nov 29];27:112. Available from: https://www.jcytol.org/text.asp?2010/27/3/112/71879


Sir,

We describe a case of Burkitt's lymphoma (BL) of the small intestine diagnosed on ultrasound-guided fine needle aspiration cytology (FNAC). BL is a high-grade lymphoma usually involving the mandible and the intestines. An early diagnosis is paramount for prompt and effective management. FNAC forms a rapid and effective tool towards an early detection of these lymphomas. A 5-year-old boy presented with abdominal discomfort and progressively increasing abdominal mass. The computed tomography (CT) scan revealed markedly thickened bowel loops with multiple enlarged lymph nodes. There were well-defined hypoechoic nodular lesions in both the kidneys. A suspicion of lymphomatous origin was raised. Ultrasound-guided FNAC was performed through the thickened bowel. Smears were stained with Giemsa and Papanicolaou stains. Many monomorphic, round to oval single cells were identified. These cells displayed a high nucleo-cytoplasmic ratio, vesicular chromatin and prominent cytoplasmic vacuolization [Figure 1]. Many lymphoglandular bodies were seen scattered in the background. A cytological diagnosis of BL of the small intestine was made. The patient was put on a chemotherapeutic regimen, which resulted in the regression of the abdominal mass.
Figure 1 :Lymphoma cells with vesicular chromatin and prominent cytoplasmic vacuolization. Background shows lymphoglandular bodies (Giemsa, x400)

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The small intestine is a common site of BL in children and is associated with multisystem lesions. Abdominal mass, bone marrow and central nervous system involvement are poor prognostic markers. [1] Total tumor burden is the principal determinant of prognosis. FNAC, along with other ancillary techniques, provides a rapid and simple tool for early diagnosis and treatment. Ogawa et al. [2] used FNAC as a primary tool in the diagnosis of BL of bilateral breasts. Das et al. [3] studied 40 cases of BL and found the intra-abdominal location as a common location in Indian patients. FNAC under guidance can help in a rapid diagnosis, thereby assisting in an early treatment in these high-grade lesions.


   Acknowledgement Top


The author would sincerely like to thank Dr. Aparna Ahuja, Dr. Simi Bhatia and the Executive Director, Dr. Amar Dasgupta, for their constant support and guidance.

 
   References Top

1.Raab N, Heller T, Kröger J, Freund M, Nizze H, Rolfs A, et al. Intestinal lymphoma. A long diagnostic path. Med Klin (Munich) 1999;94:345-52.  Back to cited text no. 1      
2.Ogawa T, Mizutani M, Yabana T, Miyahara S, Murabayashi K. A case of Burkitt's lymphoma involving both breasts. Breast Cancer 2005;12:234-7.  Back to cited text no. 2  [PUBMED]  [FULLTEXT]  
3.Das DK, Gupta SK, Pathak IC, Sharma SC, Datta BN. Burkitt-type lymphoma. Diagnosis by fine needle aspiration cytology. Acta Cytol 1987;31:1-7.  Back to cited text no. 3  [PUBMED]    

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Correspondence Address:
Ritesh Sachdev
A 803, Plot 7A, Navrattan Apartments, Sector 23, Dwarka, New Delhi - 110 075
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-9371.71879

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