Diagnosis: Gastric lymphoma (Burkitt’s lymphoma)
• Primary Gastric Lymphoma
• 1%-5% of all gastric malignancies
• Most common site of extranodal lymphoma accounting for 50% -
70% of all primary GI lymphomas
• Burkitt’s lymphoma
• Aggressive form of B-cell lymphoma
• Usually found in children or immunocompromised adults
• Usually ileocecal mass or thickened folds and narrowing in the distal
ileum
• Rare in the stomach or colon
Primary gastric lymphoma
• CT findings
• Marked thickening of gastric wall (2~4cm) with low contrast
enhancement
• Extensive lateral extension of tumor due to submucosal spread
• Rare gastric outlet obstruction
• Preserved perigastric fat plane
• Extensive nodal enlargement is often seen.
• Features favoring lymphoma rather than adenocarcinoma
• Preservation of the perigastric fat planes, particularly in the presence
of a bulky tumor
• Gastric lumen is preserved without gastric outlet obstruction.
• Transpyloric spread is more common than carcinoma
• Infrarenal bulky lymph nodes
References
RadioGraphics 2014;34:1934-1953
RadioGraphics 2007;27:1371-1388
Am J Roentgenology 2002;179(5):1297-1304
