Nasopharyngeal fibroma presentation revealing a Burkitt Lymphoma

This case report details a rare presentation of Burkitt lymphoma (BL) in the naso-sinual region of a 15-year-old adolescent, which clinically and radiologically mimicked a nasopharyngeal fibroma. Initially presenting with chronic epistaxis and nasal obstruction, the patient underwent tumor resection; however, histopathological analysis revealed BL, an extremely aggressive B-cell lymphoma. Despite a rapid post-operative recurrence and the development of widespread distant metastasis, the patient achieved complete remission following a six-month intensive chemotherapy protocol. This case underscores the critical importance of considering high-grade malignancies in pediatric patients with nasopharyngeal masses, as the rapid growth potential of BL necessitates early and accurate diagnosis to prevent devastating systemic complications.