UPPER GASTROINTESTINAL BLEEDING SECONDARY TO BURKITT LYMPHOMA, AN UNCOMMON BUT VERY AGGRESSIVE CAUSE OF GASTRIC CANCER

P Florez-Diez; N Rodriguez-Ferreiro; V Jimenez-Beltran; M Fraile-Lopez; O Gonzalez-Bernardo; A Suarez-Noya; C Del Caño-Cerdan; A Nieto-Jara; L Carballo-Folgoso; M Celada-Sendino; A Gejo-Beneitez

doi:10.1055/s-0040-1704493

Endoscopy, Inhaltsverzeichnis

Endoscopy 2020; 52(S 01): S160
DOI: 10.1055/s-0040-1704493

ESGE Days 2020 ePoster Podium presentations

Friday, April 24, 2020 09:30 – 10:00 Upper GI: Interesting clinical cases ePoster Podium 1

UPPER GASTROINTESTINAL BLEEDING SECONDARY TO BURKITT LYMPHOMA, AN UNCOMMON BUT VERY AGGRESSIVE CAUSE OF GASTRIC CANCER

Authors

P Florez-Diez

¹Hospital Universitario Central de Asturias, Digestive, Oviedo, Spain
N Rodriguez-Ferreiro

¹Hospital Universitario Central de Asturias, Digestive, Oviedo, Spain
V Jimenez-Beltran

¹Hospital Universitario Central de Asturias, Digestive, Oviedo, Spain
M Fraile-Lopez

¹Hospital Universitario Central de Asturias, Digestive, Oviedo, Spain
O Gonzalez-Bernardo

¹Hospital Universitario Central de Asturias, Digestive, Oviedo, Spain
A Suarez-Noya

¹Hospital Universitario Central de Asturias, Digestive, Oviedo, Spain
C Del Caño-Cerdan

¹Hospital Universitario Central de Asturias, Digestive, Oviedo, Spain
A Nieto-Jara

¹Hospital Universitario Central de Asturias, Digestive, Oviedo, Spain
L Carballo-Folgoso

¹Hospital Universitario Central de Asturias, Digestive, Oviedo, Spain
M Celada-Sendino

¹Hospital Universitario Central de Asturias, Digestive, Oviedo, Spain
A Gejo-Beneitez

¹Hospital Universitario Central de Asturias, Digestive, Oviedo, Spain

Abstract

Volltext

Lymphoma is the second most common type of gastric cancer, especially MALT and diffuse large B cells lymphomas. A very rare but highly aggressive lymphoma is Burkitt lymphoma. Man, 72 years with epigastralgia, melena and anemia. In urgent gastroscopy, a large excavated ulcer is observed on the underside of the antrum (1-3). Biopsies show CD20+/bcl-6+/CD10+ lymphoid cells on the lamina propria, over-expression of c-myc and Ki67>90%, compatible with Burkitt lymphoma. PET/CT (4) shows large gastric hypermetabolic mass, with multiple intra-abdominal nodules. Chemotherapy (R-DA-EPOCH scheme) achieves complete metabolic remission in PET/CT at the end of treatment (5).