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Case Reports in Medicine
Volume 2012 (2012), Article ID 891714, 4 pages
http://dx.doi.org/10.1155/2012/891714
Case Report

Paravertebral Burkitt's Lymphoma in a Child: An Unusual Presentation

1Pediatric Hematology-Oncology, CHR Citadelle, Boulevard 12ème de ligne, 4000 Liege, Belgium
2Pediatric Radiology, CHR Citadelle, Boulevard 12ème de Ligne, 4000 Liege, Belgium
3Pathology, CHR Citadelle, ULg, Boulevard 12ème de Ligne, 4000 Liege, Belgium

Received 30 July 2012; Accepted 12 October 2012

Academic Editor: Jeffrey C. Wang

Copyright © 2012 C. Hoyoux et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Paravertebral malignant tumors constitute 4.8% of cancer cases in pediatric oncology and are mostly composed of neuroblastoma (46.4%) and soft tissue sarcomas (35.7%). We describe the case of a Caucasian 6-year-old boy who was admitted for middle back pain radiated to limbs and progressively increasing weakness of the legs, suggesting a spinal cord disease. The exploration revealed two paravertebral masses extending through the neural foraminae into the epidural space. The association with elevated serum neuron specific enolase suggested at first the diagnosis of neuroblastoma, but the pathological examination revealed a Burkitt's lymphoma. This is a rare location of sporadic Burkitt's lymphoma with neurologic syndrome as first symptoms.