Miura Lilian Yukari, Maure Miriam Anyury Daquin, Zomer Monica Tessmann, Ribeiro Reitan, Cavalcanti Teresa Cristina Santos, Kondo William
Vita Batel Hospital, Rua Alferes Angelo Sampaio, 1896 Curitiba, PR, Brazil.
Complejo Hospitalario Metropolitano, Via Simon Bolivar, Panama City, Panama.
Case Rep Obstet Gynecol. 2018 Jan 22;2018:5065738. doi: 10.1155/2018/5065738. eCollection 2018.
Primary non-Hodgkin's lymphoma (NHL) can arise from lymphatic cells located in solid organs (extranodal) and it accounts for 25 to 35% of all NHL. Primary lymphoma on the female genital tract (PLFGT) is a rare disease, comprising 0.2 to 1.1% of all extranodal lymphomas in the female population. In this paper, the authors report an extremely rare case of a 48-year-old woman who exhibited an abnormal uterine bleeding, pelvic pain, and dysmenorrhea history. The transvaginal ultrasound showed an anteverted uterus measuring 153 cm in volume, with intramural leiomyomas. She underwent a total laparoscopic hysterectomy with bilateral salpingectomy. The histologic evaluation of the specimen showed a follicular lymphoma with diffuse pattern in the endometrium. This report illustrates the difficulty in the diagnosis of primary lymphomas of the female genital tract.
原发性非霍奇金淋巴瘤（NHL）可起源于实体器官（结外）中的淋巴细胞，占所有NHL的25%至35%。女性生殖道原发性淋巴瘤（PLFGT）是一种罕见疾病，占女性人群所有结外淋巴瘤的0.2%至1.1%。在本文中，作者报告了一例极为罕见的病例，一名48岁女性，有异常子宫出血、盆腔疼痛和痛经病史。经阴道超声显示子宫前倾，体积为153立方厘米，伴有壁间平滑肌瘤。她接受了全腹腔镜子宫切除术及双侧输卵管切除术。标本的组织学评估显示子宫内膜有弥漫性滤泡性淋巴瘤。本报告说明了女性生殖道原发性淋巴瘤诊断的困难。
