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Primary B-cell lymphoma of the cervix presenting with bilateral hydronephrosis
Sonia Novotny1, Toya Ellis, Janet Stephens
1From the Departments of Obstetrics and Gynecology and Pathology, Exempla Saint Joseph Hospital, Denver, Colorado.
Background:
Primary B-cell lymphomas of the cervix are rare entities and can present with hydronephrosis.
Case:
An 82-year-old woman with a history of chronic kidney disease presented with fever, altered mental status, and abdominal pain with bilateral hydronephrosis. Despite stent placement and antibiotic therapy, the patient's condition worsened. Pelvic examination and biopsies were then performed, and a B-cell lymphoma of the cervix causing hydronephrosis was diagnosed. The patient's family declined further treatment, and the patient died 2 weeks later.
Conclusion:
Gynecologic examination and suspicion for pelvic malignancies are essential in the evaluation of patients presenting with hydronephrosis. Although squamous cell carcinoma is the most common type of malignancy associated with this presentation, malignancies of other cell lines, including lymphoma, should be considered.
