[Primary lymphoma of the uterus. A case report]

Primary uterine lymphoma is a rare gynecologic cancer. Usually it involves rather the cervix than the uterine corpus and most of them are B-cell lymphomas. We describe a case of a 43-year old, asymptomatic patient, arrived observed for ureter dilatation due to a pelvic mass diagnosed by urography. The history of the patient, the presurgical clinical and radiological findings did not reveal any sign of uterine lymphoma. These difficulties show that at present it is not possible to make any prevention for this kind of cancer. The diagnosis of lymphoma was done at frozen section during surgery, but the final diagnosis is reached after two weeks. The patient underwent a debulking surgery of the mass, ureter cleaning with introduction of ureteral stent and a node sampling was done. The correct staging and the surgical and/or medical management of this cancer (not yet standardized) are the most important factors to improve the survival of these patients.