TURKISH JOURNAL OF ONCOLOGY 2004 , Vol 19 , Num 1
BURKITT'S LYMPHOMA IN CHILDHOOD : TEN YEARS FOLLOW-UP
Karakaş Z.1, Bülbül A.2, Anak S.1, Ünüvar A.1, Sarıbeyoğlu E.T.1, Devecioğlu Ö.1, Ağaoğlu L.1, Göksan B.3, Gedikoğlu G.3
1İstanbul Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Hematoloji/Onkoloji Bilim Dalı, İstanbul
2İstanbul Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, İstanbul
3Bizim Lösemili Çocuklar Vakfı Sağlık Kuruluşu, İstanbul
Between 1992 and 2002, medical records of 28 patients with Burkitt's lymphoma who were treated in our center were retrospectively reviewed for clinical characteristics and prognostic factors. The mean age of diagnosis was 6 years, with an age range of 2-13 years. The most common primary sites were abdomen (57%), jaw (17,8%) and nasopharynx (10,7%). The male-female ratio was 6 / 1. Seven (25%), 11 (39.2 %) and 10 (35.7%) patients had stage II, stage III and IV disease respectively. The treatment protocols were COMP in 7, BFM 90 in 10 and BFM 95 in 11 patients. Follow-up period was 1-192 months (median 42 months). Five (18%) patients died due to tumor lysis (n:2) and febrile neutropenia (n:3). Age, sex and serum LDH level were not found to affect the survival. On the other hand, advanced disease affected survival. Event-free survival was found 81% for ten years. In conclusion, Burkitt's lymphoma in childhood is successfully treated with intensive chemotherapy and radiotherapy and survival rate has increased especially with supportive therapy. Keywords : Burkitt's lymphoma, childhood, chemoterapy