Title
Author
DOI
Article Type
Special Issue
Volume
Issue
Primary lymphoma of the cervix uteri: a diagnostic challenge. Report of two cases and review of the literature
1Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Belgium
2Department of Pathology, Ghent University Hospital, Ghent, Belgium
3Department of Pathology, University Hospital Free University Brussels, Brussels, Belgium
*Corresponding Author(s): R. Van den Broecke E-mail:
Background: Primary non Hodgkin's lymphoma (NHL) of the cervix and vagina is uncommon; the incidence of uterine lymphoma is estimated to be less than 0.5% of all NHL. Patients regularly present with vaginal bleeding. The diagnosis is made on biopsy but this can be difficult on small samples which may not be representative of the lesion. Immunohistochemical analysis and often molecular techniques are required to confirm the diagnosis.
Cases: We report two cases of primary diffuse large B-cell lymphoma of the cervix. In the first case, the diagnosis could only be made on repeat biopsies. The second case presented as a cervical polyp.
Conclusion: Gynecologists should be aware of this rare clinical entity in order to apply the proper treatment.
Malignant lymphoma; Cervix; Diagnosis
N. Van Renterghem,P. De Paepe,R. Van den Broecke,C. Bourgain,R. Serreyn. Primary lymphoma of the cervix uteri: a diagnostic challenge. Report of two cases and review of the literature. European Journal of Gynaecological Oncology. 2005. 26(1);36-38.
[1] Dhimes P., Alberti N., De Agustin P.: "Primary malignant lymphoma of the uterine cervix: report of a case with cytologic and immunohistochemical diagnosis". Cytopathology, 1996, 7, 204.
[2] Freeman C., Berg J., Cutler W.: "Occurence and prognosis of extranodal lymphomas". Cancer, 1972, 29, 252.
[3] Perren T., Farrant M., McCarthy K.: "Lymphomas of the cervix and upper vagina: a report of five cases and a review of the literature". Gynecol. Oneal., 1992, 44, 87.
[4] Mann R., Roberts W., Gunasakeran S.: Primary lymphoma of the uterine cervix". Gynecol. Oneal., 1987, 26, 127.
[5] Broekmans F., Swartjes J., Van der Valk P.: "Primary malignant lymphoma of the uterus: localization in a cervical polyp". Eur. J. Obstet. Gynaecol., 1993, 48, 215.
[6] Krumerman M., Chung S.: "Solitary reticulum cell sarcoma of the uterine cervix with initial cytodiagnosis". Acta Cytol., 1978, 22, 46.
[7] Al-Talib R., Sworn M., Ramsay A.: "Primary cervical lymphoma: the role of cervical cytology". Cytopathology, 1996, 7, 173.
[8] Dhimes P., Alberti N., De Agustin P.: "Primary malignant lymphoma of the uterine cervix: report of a case with cytologic and immunohistochemical diagnosis". Cytopathology, 1996, 7, 204.
[9] Carbone P., Kaplan H., Musshoff K., Smithrs D., Tubiana M.: "Report of the committee on Hodgkin's Disease staging classification". Cancer Res., 1971, 31, 1860.
[10] Lathrop J.: "Malignant pelvic lymphomas". Obstet. Gynecol., 1967, 30, 137.
[11] Harris N., Scully R.: "Malignant lymphoma and granulocytic sarcoma of the uterus and vagina: A clinico-pathologic analysis of 27 cases". Cancer, 1984, 53, 2530.
Top