Abstract
A lymphoma presenting as an ovarian mass with an initial manifestation is unusual and can cause confusion for the clinician, as its presentation may resemble that of other much more common tumors. Malignant lymphoid cells may appear in the ovary either as a primary neoplasm or as a secondary manifestation of an occult or known disseminated disease. The most common presenting signs or symptoms of malignant lymphomas involving the ovaries are abdominal or pelvic pain or a mass. We report a case of bilateral primary Burkitt lymphoma of the ovaries in a 14-year-old girl presenting with abdominal distension, abdominal pain, hematemesis, and melena. Ultrasound and CT imaging suggested a provisional diagnosis of ovarian tumor. The diagnosis of Burkitt lymphoma was established by histopathological examination of a biopsy from a digestive thickening. The tumor was classified as Burkitt lymphoma with pleural, intestinal, peritoneal, nodal (coelio-mesenteric), renal, ovarian, and bone involvement with medullary infiltration.
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