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Case Reports in Radiology
Volume 2013, Article ID 940160, 5 pages
http://dx.doi.org/10.1155/2013/940160
Case Report

Burkitt’s Lymphoma Presented as Advanced Ovarian Cancer without Evidence of Lymphadenopathy: CT and MRI Findings

1Department of Radiological Oncological and Anatomopathological Sciences, Umberto I Hospital, “La Sapienza” University of Rome, Viale Regina Elena 324, 00161 Rome, Italy
2Department of Pediatric Oncology, Umberto I Hospital, “La Sapienza” University of Rome, Viale Regina Elena 324, 00161 Rome, Italy

Received 27 February 2013; Accepted 14 March 2013

Academic Editors: B. J. Barron, R. Bhargava, M. Hashimoto, A. Matsuno, O. Strohm, and Y. Tsushima

Copyright © 2013 Lucia Manganaro 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

Burkitt's lymphoma is a rare non-Hodgkin's lymphoma which can occasionally involve the ovary and may cause confusion for the clinician since its presentation might mimic other much more frequent tumors. We present a case of a 23-year-old woman with sporadic Burkitt’s lymphoma presented as advanced ovarian cancer with bilateral ovarian masses, peritoneal carcinomatosis, ascites, and marked elevation of CA-125. Liver involvement and atypical bone lesions, such as the cranial vault and the iliac wing, were also detected without evidence of lymphadenopathy. We describe the MRI and CT findings of simultaneous ovarian and bone lesions, which have never been reported in literature in a patient with Burkitt's lymphoma, before and after one cycle of chemotherapy. In evaluating any ovarian neoplasm in a young woman, Burkitt's lymphoma should be considered as a possibility, particularly if associated with bone lesions. MRI is the most useful tool to characterize the ovarian lesions and suggest the diagnosis before the histopathological results.