Lymphomas Quiz: Ace Your Exams

An 8-year-old boy is brought to the clinic for evaluation of jaw swelling and an open wound on the cheek. The patient and family recently immigrated from Africa. The jaw wound has enlarged over the course of a few months and has been associated with intermittent fevers, fatigue, and weight loss. There was no recent trauma or insect bite to the area. Photograph of the wound is shown below. Biopsy of the jaw mass is obtained, and histopathology shows undifferentiated squamous epithelial cells forming a “starry sky” appearance. Which of the following best describes the underlying process causing this patient’s condition?
 
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