Pomares Arias E, Payeras Mas M, Conchillo Armendáriz M A, García González N, Prieto Valtueña J
Departamento de Medicina Interna, Clínica Universitaria de Navarra, Facultad de Medicina, Universidad de Navarra.
An Med Interna. 2000 Aug;17(8):432-3.
Non-Hodgkin lymphomas are frequent tumors. However, extraglandulary forms are very unusual, and the location in the uterine cervix is also extraordinary. A case of an elderly woman with symptoms not related with the tumor, in whom the diagnosis was made from the incidental finding of a distended obstructive bladder is presented. Pelvic mass is one of the forms of presentation of primary malignant lymphomas of the uterine cervix. Diagnosis was made in this case by transvaginal biopsy under general anesthesia. Biopsy showed a diffuse T-cell lymphoma, a very rare finding considering that most of published cases are B-cell type. The importance of distinguishing malignant lymphoma from undifferentiated carcinoma or sarcoma is emphasized since cervical malignant lymphoma can be successfully treated with irradiation.
非霍奇金淋巴瘤是常见的肿瘤。然而，结外形式非常罕见，位于子宫颈的情况也不寻常。本文报告一例老年女性，其症状与肿瘤无关，诊断是通过偶然发现膀胱扩张梗阻而做出的。盆腔肿块是子宫颈原发性恶性淋巴瘤的一种表现形式。该病例在全身麻醉下经阴道活检确诊。活检显示为弥漫性T细胞淋巴瘤，考虑到大多数已发表病例为B细胞型，这一发现非常罕见。强调了将恶性淋巴瘤与未分化癌或肉瘤区分开来的重要性，因为子宫颈恶性淋巴瘤可通过放疗成功治疗。
