Incidentally Discovered Diffuse Large B-Cell Lymphoma Limited to the Endocervical Mucosa in a Young Female Patient
Primary high-grade non-Hodgkin lymphoma of the female genital tract is extremely rare. Vaginal bleeding, abdominal pain or urinary complaints might be its most frequent symptoms. We report a 27-year-old multipara who underwent large loop excision of the transformation zone because of the repeated f...
Elmentve itt :
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Dokumentumtípus: | Cikk |
Megjelent: |
2015
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Sorozat: | GYNECOLOGIC AND OBSTETRIC INVESTIGATION
80 No. 2 |
Tárgyszavak: | |
doi: | 10.1159/000369388 |
mtmt: | 2886936 |
Online Access: | http://publicatio.bibl.u-szeged.hu/13214 |
Tartalmi kivonat: | Primary high-grade non-Hodgkin lymphoma of the female genital tract is extremely rare. Vaginal bleeding, abdominal pain or urinary complaints might be its most frequent symptoms. We report a 27-year-old multipara who underwent large loop excision of the transformation zone because of the repeated finding of a low-grade squamous intraepithelial lesion identified during routine cancer screening. Incidentally, CD20-positive, primary, diffuse large B-cell lymphoma infiltrating the mucosa of the endocervix was also diagnosed from this specimen. The case is unusual because the patient had no symptoms, specific colposcopic signs or visible mass. R-CHOP 21 immunochemotherapy was introduced and resulted in complete remission without hysterectomy. The patient is without any evidence of disease after 49 months of follow-up. Primary cervical lymphomas are mainly subepithelial initially, and therefore they may be under-recognized due to the inefficiency of smears to diagnose such lesions. Early diagnosis and available targeted treatment allowed a cure in the reported example. (c) 2015 S. Karger AG, Basel. |
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Terjedelem/Fizikai jellemzők: | 134-138 |
ISSN: | 0378-7346 |