Primary gastric Burkitt lymphoma with multiple hepatic metastases

A 61-year-old woman without noted medical history was admitted with hematemesis. Laboratory findings showed anemia, liver dysfunction, and high soluble IL-2 receptor. Esophagogastroduodenoscopy revealed multiple gastric tumors, including a large ear-shaped ulcer with an exposed vessel in the posterior wall and a IIa+IIc lesion (Fig. 1a-c). Endoscopic hemostasis was successfully performed. Endoscopic ultrasonography revealed hypoechoic lesions (Fig. 1d). CT revealed multiple liver metastases (Fig. 1e).