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Voluminous Exophthalmia, a revealing Sign of Burkitt’s lymphoma

Diarra Ye, Chantal Bouda, Ousséni Diallo, Nonfounikoun Meda, Ludovic Kam

CaseRepClinPractRev 2006; 7:162-165

ID: 452158


Background: Maxillofacial-based Burkitt lymphoma is well known by clinicians. Therefore, in our working
context, this is rather a problem of diagnosis than a problem of therapeutic care.
Case Report: The case report concerns 8 year-old child with Burkitt lymphoma received at the fourth (IV) level according to Murphy’s classification, with a monstrous exophthalmia, first on the left, then
rapidly, a bilateral one, that has been growing since 7 months. The radiography shows images of multi-focal moth-eaten osteolysis. The scanner of the facial massif and of the brain targets a tumour of the left parotidean loge, with an ocular development, invading the left cavernous sinus, without affecting the optical nerve associated with a grade III level left exophthalmia. The anatomopathological examination tends to reveal a Burkitt lymphoma.
Conclusions: Maxillofacial locations of Burkitt lymphomas are frequent enough, with an often facial diagnosis in its early stage. This form, together with a monstrous exophthalmia, when detected very late, may lead to think of other aetiologies, and then often leads to bad prognostic in our working
context.

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