Piura B, Bar-David J, Glezerman M, Zirkin H J
J Surg Oncol. 1986 Oct;33(2):126-8. doi: 10.1002/jso.2930330216.
A 16-year-old girl presented with a large pelvic mass. At laparotomy, bilateral ovarian tumors were disclosed and bilateral salpingo-oophorectomy was performed. No evidence of extra-ovarian disease was found. Histopathological examination and histochemical immunoperoxidase studies demonstrated the tumors to be malignant lymphoma of the lymphoblastic type. The patient had radiotherapy and systemic chemotherapy and more than 10 years later she is alive with no evidence of recurrent disease. The rarity of ovarian involvement as the initial manifestation of malignant lymphoma is discussed. The question of whether this patient represents a case of a primary ovarian malignant lymphoma or merely represents a case of ovarian initial manifestation of an occult generalized disease cannot be answered.
一名16岁女孩因盆腔巨大肿块就诊。剖腹探查时发现双侧卵巢肿瘤，并进行了双侧输卵管卵巢切除术。未发现卵巢外疾病的证据。组织病理学检查和组织化学免疫过氧化物酶研究表明肿瘤为淋巴母细胞型恶性淋巴瘤。患者接受了放疗和全身化疗，10多年后仍然存活，无疾病复发迹象。本文讨论了以恶性淋巴瘤作为初始表现而累及卵巢的罕见情况。该患者是原发性卵巢恶性淋巴瘤病例，还是仅仅是隐匿性全身性疾病的卵巢初始表现，这个问题无法回答。
