24岁闭经女性：双侧原发性卵巢伯基特淋巴瘤。
24-year-old female with amenorhea: bilateral primary ovarian Burkitt lymphoma.
作者信息
Baloglu Huseyin, Turken Orhan, Tutuncu Levent, Kizilkaya Esref
机构信息
Gulhane Medical Academy, Department of Pathology, Istanbul, Turkey.
出版信息
Gynecol Oncol. 2003 Nov;91(2):449-51. doi: 10.1016/j.ygyno.2003.08.013.
OBJECTIVES
Burkitt's lymphoma (BL) occurs mostly in children. Isolated bilateral ovarian involvement presenting with amenorrhea is extremely rare in young adults.
CASE
A 24-year-old female presented with secondary amenorrhea. Bilateral adnexal masses were identified on physical examination and abdominal computed tomography (CT). She underwent total abdominal histerectomy and bilateral salpingoophorectomy. Histopathologic evaluation yielded a diagnosis of BL of ovaries. Combined chemotherapy was administered. After complete remission an autologous bone marrow transplantation (ABMT) was performed. She died 35 days after ABMT.
CONCLUSIONS
Although rare, BL should be kept in mind when isolated ovarian tumors are detected in young patients.
目的
伯基特淋巴瘤（BL）大多发生于儿童。在年轻成人中，以闭经为表现的孤立性双侧卵巢受累极为罕见。
病例
一名24岁女性出现继发性闭经。体格检查及腹部计算机断层扫描（CT）发现双侧附件肿块。她接受了全腹子宫切除术及双侧输卵管卵巢切除术。组织病理学评估确诊为卵巢伯基特淋巴瘤。给予联合化疗。完全缓解后进行了自体骨髓移植（ABMT）。她在ABMT后35天死亡。
结论
尽管罕见，但在年轻患者中检测到孤立性卵巢肿瘤时应考虑到伯基特淋巴瘤。
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