Yassaee Fakhrolmolouk, Hosseini Sedighe
Associate Professor, Department of Obstetrics and Gynecology, School of Medicine, Shaheed Beheshti University of Medical Sciences, Tehran, Iran.
J Res Med Sci. 2011 Oct;16(10):1382-5.
Pelvic lymphoma is not a common condition and aggressive recurrence of chronic lymphocytic leukemia (CLL) as a cause is rarely reported. We report a case of lymphoma of left adnexa in a postmenopausal woman, with a three week history of abdominal and left flank pain. Past medical history was consistent with diagnosis of CLL. She had received chemotherapy. Due to abdominal and flank pain and abdominopelvic mass, exploratory laparotomy was done with the impression of ovarian malignancy. A large uterus with adnexal mass and a large tumoral bladder was seen. Biopsy was done from adnexal mass which was compatible with lymphoma. The abdomen was closed and the patient was referred for chemotherapy. Lymphoma usually does not involve the pelvic organs. After laparotomy, her condition deteriorated and she expired.
盆腔淋巴瘤并不常见，慢性淋巴细胞白血病（CLL）作为其侵袭性复发的病因鲜有报道。我们报告一例绝经后女性左附件淋巴瘤病例，患者有三周的腹部和左侧胁腹疼痛病史。既往病史与CLL诊断相符，她曾接受过化疗。因腹部和胁腹疼痛以及腹盆腔肿块，行剖腹探查术，初步诊断为卵巢恶性肿瘤。术中可见一个伴有附件肿块的大子宫和一个巨大的肿瘤性膀胱。对附件肿块进行活检，结果符合淋巴瘤。关闭腹腔后，患者被转诊接受化疗。淋巴瘤通常不累及盆腔器官。剖腹探查术后，患者病情恶化并死亡。
