Sporadic Burkitt lymphoma is the most common type in the United States and Europe. It is not linked to EBV. Immunodeficiency-related Burkitt lymphoma is seen in people with human immunodeficiency virus (HIV) and AIDS, as well as people with inherited immunodeficiencies or who take immunosuppressive drugs after an organ transplant.
Because Burkitt lymphoma is aggressive, symptoms often quickly emerge. This article will discuss the frequent symptoms, rare symptoms, and complications of Burkitt lymphoma.
Frequent Symptoms
While symptoms depend on the form of Burkitt lymphoma in question and the parts of the body affected, the disease can affect the:
Face and jawBowelKidneysOvariesTestesLiver Central nervous system
Potential first signs of Burkitt lymphoma include:
Rapid, usually unpainful swelling of the lymph nodes (glands) in the neck and head Fever Unexplained weight loss Fatigue Fever Shortness of breath
One of the most notable symptoms of endemic Burkitt lymphoma is facial swelling and distortion of the bones in the face or jaw.
Sporadic Burkitt Lymphoma
In people with sporadic Burkitt lymphoma, symptoms typically start in the abdomen. The sporadic form of this disease affects young adults and children more so than older adults. According to the Genetic and Rare Disease Information Center (GARD), only 5%–29% of people with Burkitt lymphoma experience abdominal pain.
People with sporadic Burkitt lymphoma may also develop bloating or swelling because of fluid buildup in the abdomen. Other abdominal symptoms may include:
Blood in the stool because of gastrointestinal bleeding Constipation due to bowel obstruction Feeling full quickly Appetite problems Nausea Vomiting
Rare Symptoms
In rare cases, people with Burkitt lymphoma may develop a condition called tumor lysis syndrome. This serious condition occurs when tumor cells dump their contents into the bloodstream.
Symptoms may include:
NauseaVomiting Irregular heartbeatCloudy urineShortness of breathDrowsiness Joint discomfort or pain
People with untreated Burkitt lymphoma may also experience central nervous system symptoms when the cancer is in the advanced stages.
The condition is most likely to occur at the start of chemotherapy treatment, when many tumor cells are being destroyed. Other treatments that may cause tumor lysis syndrome include:
Corticosteroids (anti-inflammatory medicine that is a man-made version of hormones)Radiation therapy (uses beams of intense energy to kill cancer cells and shrink tumors)Hormone therapy (treatment to slow or stop cancers that use hormones to grow)Biological therapy (activates or suppresses the body’s immune system to kill cancer cells)
Complications
Without treatment, Burkitt lymphoma is fatal. Rapid treatment is required since this cancer is particularly fast growing.
Treatment usually involves aggressive chemotherapy, which has its own set of potential complications and side effects, including:
FatigueAnemia (lack of healthy red blood cells)Weakened immune systemEasy bruising and bleedingAppetite and weight changesNausea and vomitingDiarrhea or constipationHair lossNerve problems, such as numbnessChanges of the nails and skinUrinary changesDifficulty focusingChanges in moodLibido changesProblems with fertility
Furthermore, if a person develops tumor lysis syndrome, they may experience complications such as:
Kidney damageLoss of muscle controlSeizuresIrregular heartbeat
In some cases, tumor lysis syndrome may be fatal.
When to See a Doctor
Because Burkitt lymphoma is such an aggressive cancer, it’s essential to see a doctor right away if you notice symptoms. Unlike other cancers that grow and spread slowly, Burkitt lymphoma quickly becomes deadly.
Some symptoms, such as fatigue or abdominal pain, can be signs of other conditions. However, if symptoms rapidly get worse, it may be a good idea to talk to a doctor. Swollen lymph nodes that continue to swell and grow in size are also cause for concern.
Summary
Burkitt lymphoma is a rare form of blood cancer that can develop symptoms quickly. Rapidly swelling lymph nodes in the head and neck may be noted. In the type common in the United States, a large tumor may be seen in the abdomen. Complications can include tumor lysis syndrome.
A Word From Verywell
Hearing that you or your child has cancer can be devastating. However, while Burkitt lymphoma is an aggressive cancer, it’s also treatable. In many cases, treatment for Burkitt lymphoma is successful and leads to complete remission.
Since Burkitt lymphoma grows and spreads rapidly, the key to successful treatment is spotting the cancer early. Many of the symptoms of Burkitt lymphoma are similar to other benign (noncancerous) conditions. Having fatigue and a fever, for example, may simply be a sign of an infection.
See a doctor if you develop swollen lymph nodes that don’t seem to go back to normal after a few days. Unexplained weight loss is another sign that you should discuss with your doctor.
These symptoms don’t necessarily mean you have this rare form of non-Hodgkin lymphoma. But if you’re experiencing out-of-the-norm symptoms, don’t hesitate to bring them up to your doctor.