The endoscopic and computed tomographic appearance of Burkitt's lymphoma of the stomach with follow-up studies

This is a report of a previously healthy 17-year-old male who was initially presented with abdominal pain, vomiting, dyspepsia, generalized malaise, and weight loss for 3 months duration. As per history on admission, he did not benefit from two courses of Helicobacter pylori eradication treatment with antibiotics and proton-pump inhibitors. His initial work-up in another facility included an upper gastrointestinal (GI) series which was negative. During the upper GI endoscopy, a large yellow-white ulcer crater was detected covering the lesser curvature of the stomach with a large blue hard mass central to the crater. The computed tomqgraphy (CT) of the abdomen revealed a large lobulated mass extending from the stomach. By histopathologic evaluation of the specimen, Burkitt's lymphoma was diagnosed. He subsequently received three courses of chemotherapy, and currently one year after the diagnosis, he is off chemotherapy in complete remission. Both the gastric endoscopy and the CT of the abdomen are free of tumor. Burkitt's lymphoma of the stomach is reviewed in the discussion with special features of this case.