| Autor: |
de Morais SD Jr; HRAN (Hospital Regional da Asa Norte), Departmant of Surgery, Brasília 70710-910, Brazil., Mikhael BM; Faculdades Integradas da União Educacional do Planalto Central, Brasília 72445-020, Brazil., Németh SIA; Faculdades Integradas da União Educacional do Planalto Central, Brasília 72445-020, Brazil., Paulo IML; Faculdades Integradas da União Educacional do Planalto Central, Brasília 72445-020, Brazil., de Barros ÉOH; HRAN (Hospital Regional da Asa Norte), Full Member of Colégio Brasileiro de Cirurgiões (CBC), Brasília 70710-910, Brazil., Lima OAT; HRAN (Hospital Regional da Asa Norte), Brasília University-UnB, Departmant of Surgery, Brasília 70710-910, Brazil. |
| Jazyk: |
angličtina |
| Zdroj: |
Journal of surgical case reports [J Surg Case Rep] 2018 Jun 11; Vol. 2018 (6), pp. rjy131. Date of Electronic Publication: 2018 Jun 11 (Print Publication: 2018). |
| DOI: |
10.1093/jscr/rjy131 |
| Abstrakt: |
Appendiceal lymphomas are exceedingly rare, constituting around 0.015% of all gastrointestinal lymphoma cases. Burkitt's lymphoma is the second most prevalent pathology, diagnosed in 25.9% of patients. We report a case of a 36-year-old male admitted with acute abdominal pain with 2 days of evolution, localized in the right lower quadrant associated with hyporexia, but no fever. On examination he presented abdominal tenderness on the right iliac fossa. A diagnosis of acute appendicitis was made clinically. At the post-operative follow up, 2 weeks later, he presented a low back pain of high intensity, associated with swelling of the abdomen, night sweats, daily fevers and weight loss. The histopathological exam of the appendix revealed diffuse and transmural lymphoid proliferation. Immunohistochemistry suggested high grade B-cell lymphoma indicative of Burkitt's lymphoma. This patient was staged as a IVxB lymphoma and was submitted into polychemotherapy with a complete clinical response in 8 months. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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