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Mandible-Maxilla Burkitt Lymphoma
C. Grace Petrikowski, DDS, MSc, FRCD(C)
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Synonyms

              • Burkitt tumor, high-grade B-cell lymphoma, small noncleaved cell lymphoma, African jaw lymphoma, American Burkitt lymphoma
            • Definitions

              • Burkitt lymphoma: Undifferentiated malignant non-Hodgkin lymphoma (NHL)
                • 3 distinct variants
                  • Endemic (Africa & New Guinea, most common type)
                  • Sporadic (throughout world)
                  • Immunodeficiency-associated (primarily HIV)

            IMAGING

            • General Features

              • Radiographic Findings

                • CT Findings

                  • MR Findings

                    • Nuclear Medicine Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Staging, Grading, & Classification

                              • Gross Pathologic & Surgical Features

                                • Microscopic Features

                                  CLINICAL ISSUES

                                  • Presentation

                                    • Demographics

                                      • Natural History & Prognosis

                                        • Treatment

                                          DIAGNOSTIC CHECKLIST

                                          • Consider

                                            • Image Interpretation Pearls

                                              Selected References

                                              1. Derinkuyu BE et al: Imaging features of Burkitt lymphoma in pediatric patients. Diagn Interv Radiol. 22(1):95-100, 2016
                                              2. Allen CE et al: Pediatric lymphomas and histiocytic disorders of childhood. Pediatr Clin North Am. 62(1):139-65, 2015
                                              3. Rebelo-Pontes HA et al: Burkitt's lymphoma of the jaws in the Amazon region of Brazil. Med Oral Patol Oral Cir Bucal. 19(1):e32-8, 2014
                                              4. Kimura H et al: Epstein-Barr virus-associated lymphoid malignancies: the expanding spectrum of hematopoietic neoplasms. Nagoya J Med Sci. 75(3-4):169-79, 2013
                                              5. Lee DH et al: Primary Burkitt's lymphoma in the nasal cavity and paranasal sinuses. Clin Exp Otorhinolaryngol. 6(3):184-6, 2013
                                              6. Sasaki M et al: Bilateral numb chin syndrome leading to a diagnosis of Burkitt's cell acute lymphocytic leukemia: a case report and literature review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 111(3):e11-6, 2011
                                              7. Jan A et al: Sporadic Burkitt's lymphoma of the jaws: the essentials of prompt life-saving referral and management. J Can Dent Assoc. 71(3):165-8, 2005
                                              8. Banthia V et al: Sporadic Burkitt's lymphoma of the head and neck in the pediatric population. Int J Pediatr Otorhinolaryngol. 67(1): 59-65, 2003
                                              9. Ardekian L et al: Burkitt's lymphoma of the oral cavity in Israel. J Craniomaxillofac Surg. 27(5): 294-7, 1999
                                              10. Hanazawa T et al: Burkitt's lymphoma involving the mandible: report of a case and review of Japanese cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 85(2): 216-20, 1998
                                              11. Ardekian L et al: Burkitt's lymphoma mimicking an acute dentoalveolar abscess. J Endod. 22(12): 697-8, 1996
                                              12. Arotiba GT: A study of orofacial tumors in Nigerian children. J Oral Maxillofac Surg. 54(1): 34-8; discussion 39, 1996
                                              13. Mukerji PK et al: Burkitt's lymphoma with mandible, intra-abdominal and renal involvement--initial presentation of HIV infection in a 4-year-old child. Pediatr Radiol. 23(1): 76-7, 1993
                                              14. Langford A et al: Oral manifestations of AIDS-associated non-Hodgkin's lymphomas: Int J Oral Maxillofac Surg. 20(3): 136-41, 1991
                                              15. Svoboda WE et al: North American Burkitt's lymphoma presenting with intraoral symptoms. Pediatr Dent. 13(1): 52-8, 1991
                                              16. Patton LL et al: American Burkitt's lymphoma: a 10-year review and case study. Oral Surg Oral Med Oral Pathol. 69(3):307-16, 1990
                                              17. Hernandez Vallejo G et al: Unusual periodontal findings in an AIDS patient with Burkitt's lymphoma. A case report. J Periodontol. 60(12): 723-7, 1989
                                              18. Sariban E et al: Jaw involvement in American Burkitt's Lymphoma. Cancer. 53(8):1777-82, 1984
                                              19. Levine PH et al: The American Burkitt's Lymphoma Registry: eight years' experience. Cancer. 49(5):1016-22, 1982
                                              Related Anatomy
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                                              Related Differential Diagnoses
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                                              References
                                              Tables

                                              Tables

                                              KEY FACTS

                                              • Terminology

                                                • Imaging

                                                  • Top Differential Diagnoses

                                                    • Clinical Issues

                                                      • Diagnostic Checklist

                                                        TERMINOLOGY

                                                        • Synonyms

                                                          • Burkitt tumor, high-grade B-cell lymphoma, small noncleaved cell lymphoma, African jaw lymphoma, American Burkitt lymphoma
                                                        • Definitions

                                                          • Burkitt lymphoma: Undifferentiated malignant non-Hodgkin lymphoma (NHL)
                                                            • 3 distinct variants
                                                              • Endemic (Africa & New Guinea, most common type)
                                                              • Sporadic (throughout world)
                                                              • Immunodeficiency-associated (primarily HIV)

                                                        IMAGING

                                                        • General Features

                                                          • Radiographic Findings

                                                            • CT Findings

                                                              • MR Findings

                                                                • Nuclear Medicine Findings

                                                                  • Imaging Recommendations

                                                                    DIFFERENTIAL DIAGNOSIS

                                                                      PATHOLOGY

                                                                      • General Features

                                                                        • Staging, Grading, & Classification

                                                                          • Gross Pathologic & Surgical Features

                                                                            • Microscopic Features

                                                                              CLINICAL ISSUES

                                                                              • Presentation

                                                                                • Demographics

                                                                                  • Natural History & Prognosis

                                                                                    • Treatment

                                                                                      DIAGNOSTIC CHECKLIST

                                                                                      • Consider

                                                                                        • Image Interpretation Pearls

                                                                                          Selected References

                                                                                          1. Derinkuyu BE et al: Imaging features of Burkitt lymphoma in pediatric patients. Diagn Interv Radiol. 22(1):95-100, 2016
                                                                                          2. Allen CE et al: Pediatric lymphomas and histiocytic disorders of childhood. Pediatr Clin North Am. 62(1):139-65, 2015
                                                                                          3. Rebelo-Pontes HA et al: Burkitt's lymphoma of the jaws in the Amazon region of Brazil. Med Oral Patol Oral Cir Bucal. 19(1):e32-8, 2014
                                                                                          4. Kimura H et al: Epstein-Barr virus-associated lymphoid malignancies: the expanding spectrum of hematopoietic neoplasms. Nagoya J Med Sci. 75(3-4):169-79, 2013
                                                                                          5. Lee DH et al: Primary Burkitt's lymphoma in the nasal cavity and paranasal sinuses. Clin Exp Otorhinolaryngol. 6(3):184-6, 2013
                                                                                          6. Sasaki M et al: Bilateral numb chin syndrome leading to a diagnosis of Burkitt's cell acute lymphocytic leukemia: a case report and literature review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 111(3):e11-6, 2011
                                                                                          7. Jan A et al: Sporadic Burkitt's lymphoma of the jaws: the essentials of prompt life-saving referral and management. J Can Dent Assoc. 71(3):165-8, 2005
                                                                                          8. Banthia V et al: Sporadic Burkitt's lymphoma of the head and neck in the pediatric population. Int J Pediatr Otorhinolaryngol. 67(1): 59-65, 2003
                                                                                          9. Ardekian L et al: Burkitt's lymphoma of the oral cavity in Israel. J Craniomaxillofac Surg. 27(5): 294-7, 1999
                                                                                          10. Hanazawa T et al: Burkitt's lymphoma involving the mandible: report of a case and review of Japanese cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 85(2): 216-20, 1998
                                                                                          11. Ardekian L et al: Burkitt's lymphoma mimicking an acute dentoalveolar abscess. J Endod. 22(12): 697-8, 1996
                                                                                          12. Arotiba GT: A study of orofacial tumors in Nigerian children. J Oral Maxillofac Surg. 54(1): 34-8; discussion 39, 1996
                                                                                          13. Mukerji PK et al: Burkitt's lymphoma with mandible, intra-abdominal and renal involvement--initial presentation of HIV infection in a 4-year-old child. Pediatr Radiol. 23(1): 76-7, 1993
                                                                                          14. Langford A et al: Oral manifestations of AIDS-associated non-Hodgkin's lymphomas: Int J Oral Maxillofac Surg. 20(3): 136-41, 1991
                                                                                          15. Svoboda WE et al: North American Burkitt's lymphoma presenting with intraoral symptoms. Pediatr Dent. 13(1): 52-8, 1991
                                                                                          16. Patton LL et al: American Burkitt's lymphoma: a 10-year review and case study. Oral Surg Oral Med Oral Pathol. 69(3):307-16, 1990
                                                                                          17. Hernandez Vallejo G et al: Unusual periodontal findings in an AIDS patient with Burkitt's lymphoma. A case report. J Periodontol. 60(12): 723-7, 1989
                                                                                          18. Sariban E et al: Jaw involvement in American Burkitt's Lymphoma. Cancer. 53(8):1777-82, 1984
                                                                                          19. Levine PH et al: The American Burkitt's Lymphoma Registry: eight years' experience. Cancer. 49(5):1016-22, 1982