Burkitt's lymphoma classification: Difference between revisions

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| style="text-align: center; padding: 5px 5px; background: #F5F5F5;" | '''Endemic Burkitt's lymphoma'''
| style="text-align: center; padding: 5px 5px; background: #F5F5F5;" | '''Endemic Burkitt's lymphoma'''  
(African Burkitt's lymphoma)
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* Also called African Burkitt's lymphoma because it mainly occurs in Africa
* The most common childhood cancer in Africa
* The most common childhood cancer in Africa
* Almost always associated with Epstein-Barr virus infection
* Almost always associated with [[Epstein-Barr virus]] infection
* Characteristically involves the jaw or other facial bone, distal ileum, cecum, ovaries, kidney or the breast
* Characteristically involves the jaw or other [[facial bone]], [[distal ileum]], [[cecum]], [[ovaries]], kidney or the breast
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| style="text-align: center; padding: 5px 5px; background: #F5F5F5;" | '''Sporadic Burkitt's lymphoma'''
| style="text-align: center; padding: 5px 5px; background: #F5F5F5;" | '''Sporadic Burkitt's lymphoma'''  
(Non-African or Non-endemic Burkitt's lymphoma)
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* Also called non-African or non-endemic Burkitt's lymphoma
* The most common type of Burkitt's lymphoma in North America and European countries
* The most common type of Burkitt's lymphoma in North America and European countries
* Sometimes associated with the [[Epstein-Barr virus]], but in many cases this virus is not present
* Sometimes associated with the [[Epstein-Barr virus]], but in many cases this virus is not present
* Non-Hodgkins, which includes Burkitt's, accounts for 30-50% of childhood lymphoma  
* [[Non-Hodgkin's]], which includes Burkitt's, accounts for 30-50% of childhood lymphoma  
* Ileo-cecal region is the common site of involvement
* Ileo-cecal region is the common site of involvement
* Most often starts in the abdomen, but can also start in the ovaries, testicles, kidneys or other organs
* Most often starts in the abdomen, but can also start in the ovaries, testicles, kidneys or other organs
* Jaw is less commonly involved, comparing with the endemic variant  
* Jaw is less commonly involved, comparing with the endemic variant  
* Can also involve the pleura lining the lung, central nervous system (CNS) and, uncommonly, the breast
* Can also involve the pleura lining the lung, [[central nervous system]] (CNS) and, uncommonly, the breast
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| style="text-align: center; padding: 5px 5px; background: #F5F5F5;" | '''Immunodeficiency-associated Burkitt's lymphoma'''
| style="text-align: center; padding: 5px 5px; background: #F5F5F5;" | '''Immunodeficiency-associated Burkitt's lymphoma'''

Revision as of 13:28, 29 September 2015

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sowminya Arikapudi, M.B,B.S. [2]

Overview

Burkitt's lymphoma may be classified into 3 clinical variants: endemic Burkitt's lymphoma, sporadic Burkitt's lymphoma, and immunodeficiency-associated Burkitt's lymphoma.

Classification

Burkitt's lymphoma may be classified into 3 clinical variants:[1]

  • Endemic Burkitt's lymphoma
  • Sporadic Burkitt's lymphoma
  • Immunodeficiency-associated Burkitt's lymphoma

By morphology (i.e. microscopic appearance) or immunophenotype, it is almost impossible to differentiate these three clinical variants. Immunodeficiency-associated Burkitt's lymphoma may demonstrate more plasmacytic appearance or more pleomorphism, but these features are not specific.

Burkitt's lymphoma classification
Name Description
Endemic Burkitt's lymphoma

(African Burkitt's lymphoma)

Sporadic Burkitt's lymphoma

(Non-African or Non-endemic Burkitt's lymphoma)

  • The most common type of Burkitt's lymphoma in North America and European countries
  • Sometimes associated with the Epstein-Barr virus, but in many cases this virus is not present
  • Non-Hodgkin's, which includes Burkitt's, accounts for 30-50% of childhood lymphoma
  • Ileo-cecal region is the common site of involvement
  • Most often starts in the abdomen, but can also start in the ovaries, testicles, kidneys or other organs
  • Jaw is less commonly involved, comparing with the endemic variant
  • Can also involve the pleura lining the lung, central nervous system (CNS) and, uncommonly, the breast
Immunodeficiency-associated Burkitt's lymphoma
  • Tends to occur in people with weakened immune systems, typically those with HIV infection
  • Incidence of immunodeficiency-associated Burkitt's lymphoma appears to be dropping because of antiretroviral therapy
  • About 30–40% of cases are associated with the Epstein-Barr virus


References

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