Abstract

Primary gastrointestinal non-Hodgkin’s lymphoma is a distinct clinico pathological entity. Non-endemic Burkitt’s lymphoma (high-grade, small non-cleaved lymphocytic type) is rare in non-HIV adult population. A 54 year old male presented with vague fatigue, weight loss over a period of six weeks duration and on evaluation he was found to have Burkett’s lymphoma. Burkett’s lymphoma(BL) is a substantially aggressive mature B cell neoplasm mainly in children and young adults but cases in adults are well known. This entity has three recognized clinical variants: endemic form which is usually associated with EBV infection, sporadic variant where only about 30% of the cases are related to EBV infection, and immunodeficiency associated BL. Extra nodal disease is frequently observed but GI tract involvement varies among the three clinical subtypes, with the sporadic variant us ually presenting as an abdominal mass, commonly in the terminal ileum. Burkett’s lymphoma is rare in the stomach. Report of a case with a brief review is presented.