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Báo cáo y học: " Clinical presentation and endoscopic features of primary gastric Burkitt lymphoma in childhood, presenting as a protein-losing enteropathy: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Clinical presentation and endoscopic features of primary gastric Burkitt lymphoma in childhood, presenting as a protein-losing enteropathy: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Clinical presentation and endoscopic features of primary gastric Burkitt lymphoma in childhood presenting as a protein-losing enteropathy a case report Jenny Hui Chia Chieng1 John Garrett1 Steven Leslie Ding2 and Michael Sullivan1 3 Addresses department of Paediatrics Christchurch Hospital Christchurch New Zealand department of Gastroenterology Christchurch Hospital Christchurch New Zealand and Children s Cancer Research Group University of Otago Christchurch New Zealand Email JHCC - jenny.chieng@cdhb.govt.nz JG - john.garrett@cdhb.govt.nz SLD - steven.ding@cdhb.govt.nz MS - michael.sullivan@otago.ac.nz Corresponding author Received 31 August 2008 Accepted 23 January 2009 Published 9 June 2009 Journal ofMedical Case Reports 2009 3 7256 doi 10.4076 1752-1947-3-7256 This article is available from http jmedicalcasereports.com jmedicalcasereports article view 7256 2009 Chieng et al licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.Org licenses by 3.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Burkitt lymphoma and B cell lymphomas in childhood may arise in many atypical locations which on rare occasions can include gastric mucosa. A case of primary gastric Burkitt lymphoma is described in a child presenting as a protein-losing enteropathy including the direct monitoring of the disease response by sequential endoscopic biopsy and molecular analysis. Case presentation We report a 9-year-old boy who presented with gross oedema ascites and respiratory distress caused by a protein-losing enteropathy. Initial imaging investigations were nondiagnostic but gastroduodenal endoscopy revealed massive involvement of the gastric mucosa with a primary Burkitt lymphoma. His subsequent clinical progress and disease response were