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Primary ovarian large B-cell lymphoma
Mine Islimye Taskın1, Levent Gokgozoglu, Bedrı Kandemır
1Department of Obstetrics and Gynecology, Balıkesir University School of Medicine, Balikesir, Turkey.
Case Reports in Obstetrics and Gynecology
|November 14, 2013
Summary
Primary ovarian lymphoma, a rare condition, was diagnosed in a 38-year-old woman. Treatment with R-CHOP chemotherapy resulted in a 24-month cancer-free survival, highlighting successful management of this uncommon lymphoma presentation.
Area of Science:
- Oncology
- Hematology
- Gynecologic Oncology
Background:
- Malignant lymphoma rarely involves the ovary, typically as a late sign of widespread nodal disease.
- Primary ovarian lymphoma is an exceptionally rare clinical presentation.
Purpose of the Study:
- To report a rare case of primary ovarian diffuse large B-cell lymphoma.
- To describe the diagnostic and therapeutic approach for this uncommon entity.
Main Methods:
- Case presentation of a 38-year-old woman with incidentally detected unilateral ovarian mass.
- Preoperative imaging (ultrasound) and surgical intervention (salpingo-oophorectomy).
- Postoperative diagnosis confirmed by immunostaining and treatment with R-CHOP regimen.
Main Results:
- Incidental detection of a 46x42 mm heterogeneous cystic mass in the left ovary.
- Histopathological diagnosis of diffuse large B-cell lymphoma after immunostaining.
- Successful treatment with R-CHOP chemotherapy, with the patient remaining cancer-free for 24 months.
Conclusions:
- Primary ovarian diffuse large B-cell lymphoma is a rare but manageable condition.
- Multidisciplinary approach involving surgery and chemotherapy is crucial for successful outcomes.
- Early diagnosis and prompt treatment can lead to favorable prognosis in primary ovarian lymphoma.
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