Burkitt's Lymphoma Presenting as Menorrhagia and a Vaginal Mass in an Adolescent.

BACKGROUND: Menorrhagia is a common gynecologic complaint among adolescents, which rarely is secondary to malignancy. Burkitt's lymphoma can mimic gynecologic malignancy, however it is rarely seen in adolescents. Burkitt's lymphoma of the gynecologic tract requires early diagnosis and intervention for optimal outcomes.

CASE: We report a case of a 15 year old adolescent who had multiple admissions for menorrhagia that was thought to be secondary to anovulatory bleeding until pelvic ultrasound revealed a large 8 centimeter vaginal/cervical mass. Histologic examination of the biopsy specimen revealed Burkitt's lymphoma, which was treated with chemotherapy leading to resolution of her menorrhagia.

SUMMARY AND CONCLUSION: Burkitt's lymphoma presenting as a vaginal/cervical mass is exceedingly rare, especially in the adolescent patient. Burkitt's lymphoma is generally highly responsive to chemotherapy, and symptoms rapidly improve following initiation of treatment.