Bull L, Knowles A, Ogden S, Boag F, Naresh K N, Bower M
HIV and Sexual Health Directorate, Westminster Hospital, London, UK.
Int J STD AIDS. 2013 Jul;24(7):587-9. doi: 10.1177/0956462413476268. Epub 2013 Jul 9.
Primary non-Hodgkin's lymphoma of uterine cervix is a rare diagnosis. We present the case of a 47-year-old woman who presented to our genitourinary (GU) medicine service complaining of a malodorous discharge. Speculum examination revealed a necrotic mass on the cervix. She was referred urgently to gynaecology and subsequent histology revealed a diffuse large B-cell lymphoma. She received six cycles of RCHOP chemotherapy and is now in clinical remission. This case highlights the need for GU medicine physicians to remain vigilant with regard to possible gynaecological malignancies in all of our patients, the need for medical backup within GU medicine clinics and for clear pathways of referral to other specialists to exist.
子宫颈原发性非霍奇金淋巴瘤是一种罕见的诊断。我们报告一例47岁女性病例,该患者因恶臭分泌物前来我们的泌尿生殖医学科就诊。阴道窥器检查发现宫颈有一个坏死性肿物。她被紧急转诊至妇科,随后的组织学检查显示为弥漫性大B细胞淋巴瘤。她接受了六个周期的RCHOP化疗,目前处于临床缓解期。该病例强调了泌尿生殖医学科医生需要对我们所有患者中可能存在的妇科恶性肿瘤保持警惕,需要在泌尿生殖医学诊所内提供医疗支持,以及需要存在明确的转诊至其他专科医生的途径。