Primary ovarian lymphoma in a child

Bhaswati Chakrabarti1, Biswajit Bhaduri, Sukumar Barik

  • 1Department of Paediatrics. Westbank Hospital, Howrah 711109.

Insights

Primary ovarian non-Hodgkin's lymphoma is extremely rare in children. This case highlights a rare pediatric presentation of bilateral ovarian lymphoma, successfully treated with chemotherapy, with no recurrence at 28 months.

Area of Science:

  • Pediatric Oncology
  • Gynecologic Oncology
  • Hematology

Background:

  • Ovarian tumors are rare in pediatric patients.
  • Primary ovarian non-Hodgkin's lymphoma is an exceptionally uncommon diagnosis in children.

Observation:

  • A pediatric patient presented with acute abdomen due to bilateral solid ovarian tumors.
  • Right ovarian tumor torsion and left ovarian replacement necessitated bilateral salpingo-oophorectomy.

Findings:

  • Histopathological examination confirmed bilateral primary ovarian lymphoma.
  • Immunohistochemistry indicated a B-cell lineage for the lymphoma.
  • The patient received eight cycles of chemotherapy.

Implications:

  • This case underscores the importance of considering rare diagnoses in pediatric acute abdomen.
  • Successful chemotherapy treatment offers a positive prognosis for primary ovarian lymphoma in children.
  • Further research into pediatric ovarian lymphomas can improve diagnostic and therapeutic strategies.