Any of the massive abdominal lesions could have been biopsied.
US guided biopsy of the largest liver lesion was performed and histology confirmed Burkitt's lymphoma. The patient is of African descent and tested positive for HIV.
Anecdotally, Burkitt's lymphoma is known as the fast growing tumor with a doubling time of 36 hours 1. Choriocarcinoma is the second fast growing 1.