Primary ovarian lymphoma associated with Meigs' syndrome: a case report

A case is presented of primary undifferentiated lymphocytic lymphoma, non-Burkitt, of the right ovary associated with Meigs' syndrome. The diagnosis was based upon the findings of tumor imprint cytology, histopathology and electron microscopy. The ultrastructural observations were the most diagnostic, revealing well-developed, rough endoplasmic reticulum and dilated cisternae in the cytoplasm of the tumor cells. An association of Meigs' syndrome with a rare ovarian lymphoma has not been previously reported. The abnormal-appearing mesothelial cells in the pleural effusion were proven to be reactive and not malignant by comparison with the tumor cells demonstrated by imprint cytology of this ovarian lymphoma.