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非霍奇金淋巴瘤:宫颈阴道细胞学检查中罕见的诊断结果。

Non-Hodgkin's lymphoma: A rare diagnosis on cervicovaginal cytology.

作者信息

Yalta Tulin, Taştekin Ebru, Puyan Fulya Öz, Usta Ufuk, Azatçam Meltem, Altaner Semsi

机构信息

Department of Pathology, Trakya University, Edirne, Turkey.

出版信息

J Cytol. 2012 Apr;29(2):142-3. doi: 10.4103/0970-9371.97161.

DOI:10.4103/0970-9371.97161
PMID:22787299
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3391799/
Abstract

Cervicovaginal smear screening is well known to reduce morbidity and mortality rates of invasive cervical carcinoma. Herein, we report a case of 56-year-old woman whose cervicovaginal smear was found to consist of malignant cells characterized by high nuclear/cytoplasmic ratio, scant rim of cytoplasm, coarsely granular nuclear chromatin and irregular nuclear membrane that were all reminiscent of a malignant lymphoma. Histopathological examination of the hysterectomy and unilateral adnexectomy specimen confirmed the presence of a diffuse large B-cell non Hodgkin's lymphoma involving the cervix, endometrium, myometrium, serosa and the right ovary.

摘要

宫颈阴道涂片筛查可降低浸润性宫颈癌的发病率和死亡率,这是众所周知的。在此,我们报告一例56岁女性病例,其宫颈阴道涂片发现有恶性细胞,这些细胞具有高核质比、少量细胞质边缘、粗糙颗粒状核染色质和不规则核膜等特征,这些都让人联想到恶性淋巴瘤。子宫切除及单侧附件切除标本的组织病理学检查证实存在弥漫性大B细胞非霍奇金淋巴瘤,累及宫颈、子宫内膜、肌层、浆膜和右侧卵巢。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/301d/3391799/4abe97cf5065/JCytol-29-142-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/301d/3391799/fd1f92680bc2/JCytol-29-142-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/301d/3391799/4abe97cf5065/JCytol-29-142-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/301d/3391799/fd1f92680bc2/JCytol-29-142-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/301d/3391799/4abe97cf5065/JCytol-29-142-g002.jpg

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本文引用的文献

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Hematologic malignancies of the female genital tract diagnosed on liquid-based Pap test: Cytomorphologic features and review of differential diagnoses.基于液基巴氏涂片检查诊断的女性生殖道血液系统恶性肿瘤:细胞形态学特征及鉴别诊断综述
Diagn Cytopathol. 2009 Jan;37(1):61-7. doi: 10.1002/dc.20994.
2
Primary non-Hodgkin's lymphoma presenting as a uterine cervical mass.以子宫颈肿块为表现的原发性非霍奇金淋巴瘤。
Singapore Med J. 2008 Mar;49(3):e73-5.
3
Primary non-Hodgkin's lymphoma of the uterine cervix mimicking leiomyoma: case report and review of the literature.
酷似平滑肌瘤的子宫颈原发性非霍奇金淋巴瘤:病例报告及文献复习
Pathol Res Pract. 2006;202(1):61-4. doi: 10.1016/j.prp.2005.10.009. Epub 2005 Dec 9.
4
Primary malignant lymphoma of the uterine cervix: difficulties in diagnosis.子宫颈原发性恶性淋巴瘤:诊断难点
J Obstet Gynaecol. 1999 Nov;19(6):671-2. doi: 10.1080/01443619964085.
5
Primary lymphoma of the endometrium. A report of two cases diagnosed on cervicovaginal smears.
Acta Cytol. 1997 Mar-Apr;41(2):533-8. doi: 10.1159/000332552.
6
Detection of endometrial stromal sarcoma in cervicovaginal smears: reports of three cases.宫颈阴道涂片检测子宫内膜间质肉瘤:三例报告
Acta Cytol. 1981 May-Jun;25(3):272-5.