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Pelvic lymphoma: An unusual presentation
Fakhrolmolouk Yassaee1, Sedighe Hosseini
1Associate Professor, Department of Obstetrics and Gynecology, School of Medicine, Shaheed Beheshti University of Medical Sciences, Tehran, Iran.
Summary
A rare case of aggressive chronic lymphocytic leukemia (CLL) recurrence presented as pelvic lymphoma in a postmenopausal woman. This unusual presentation highlights the importance of considering uncommon diagnoses in complex cases.
Area of Science:
- Oncology
- Hematology
- Gynecologic Oncology
Background:
- Chronic lymphocytic leukemia (CLL) is a common B-cell leukemia.
- Pelvic organ involvement by lymphoma is uncommon.
- Aggressive recurrence of CLL presenting as pelvic lymphoma is rarely documented.
Observation:
- A postmenopausal woman with a history of CLL presented with abdominal and flank pain.
- Imaging revealed an abdominopelvic mass, initially suspected as ovarian malignancy.
- Exploratory laparotomy identified an adnexal mass and a tumoral bladder.
Findings:
- Biopsy confirmed the adnexal mass to be lymphoma.
- The patient had a history of chemotherapy for CLL.
- The lymphoma involved pelvic organs, an unusual manifestation.
Implications:
- This case underscores the potential for rare presentations of CLL recurrence.
- Highlights the need for comprehensive differential diagnoses in gynecologic oncology.
- Emphasizes the challenges in managing aggressive, uncommon lymphoma presentations.
