Su Chi-Feng, Tsai Horng-Jyh, Kuo Chih, Chen Gin-Den, Lin Long-Yau, Huang Che-Cheng, Luo Kan-Hung
Department of Obstetrics and Gynecology, Kuang Tien General Hospital, Taiwan.
J Obstet Gynaecol Res. 2008 Aug;34(4 Pt 2):749-53. doi: 10.1111/j.1447-0756.2008.00919.x.
Primary malignant lymphoma of the female genital tract is extremely rare and no standard treatment has been established. The present patient is menopausal with diffuse large B-cell lymphoma of the uterine body, endocervix and parametrium. She underwent a simple total abdominal hysterectomy and bilateral salpingo-oophorectomy, followed by treatment with a new regimen, combined immunochemotherapy with rituximab (monoclonal antibody), cyclophosphamide vincristine, and prednisolone. The patient had complete remission in the follow-up 3 years after this therapy. We suggest this treatment is a useful therapy for a patient with primary malignant lymphoma of the uterine body.
女性生殖道原发性恶性淋巴瘤极为罕见,目前尚未确立标准治疗方案。本例患者为绝经后女性,患有子宫体、宫颈管及子宫旁组织弥漫性大B细胞淋巴瘤。她接受了单纯全腹子宫切除术及双侧输卵管卵巢切除术,随后采用一种新方案进行治疗,即利妥昔单抗(单克隆抗体)、环磷酰胺、长春新碱和泼尼松龙联合免疫化疗。该患者在此次治疗后的3年随访中完全缓解。我们认为这种治疗方法对子宫体原发性恶性淋巴瘤患者是一种有效的治疗方法。