Abstract
Burkitt's lymphoma (BL) is an aggressive form of non-Hodgkin's B-cell lymphoma that presents 3 forms: endemic, sporadic, and immunodeficiency-associated types. The objective is to report a case of BL diagnosed in the mandibular gingiva based on the initial manifestation of right axillary lymph node enlargement (>15 cm). Upon examination, an exophytic lesion was noted in the mandible, posterior region, bilateral, invading masticatory space. A head and neck computed tomography scan revealed a homogeneous solid expansive lesion in the right buccinator space, extending to retromaxillary fat. The anatomopathologic report was compatible with BL. The patient was treated with R-dose adjusted rituximab, etoposide, prednisone, vincristine, cyclophosphamide and doxorubicin and is being followed up with a reduction in the mass of lymph nodes and oral lesions. We concluded that the multiprofessional approach in conducting diagnosis is important for the best treatment. Also, it showed that the diagnosis of hematological neoplasm must include several professionals, making the treatment more individualized for the patient.
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