Non-Hodgkins lymphomas (NHLs) are lymphoproliferative malignancy occurring most commonly among adults and adolescents. The incidence of female genital tract extranodal primary non-Hodgkin lymphoma is very rare. Most cases have been described in perimenopausal and postmenopausal age-groups (mean age being 40–59 years). We are reporting the case of a 60-year-old postmenopausal female presenting with bleeding per vaginam, abdominopelvic mass, and finally diagnosed with primary uterine B-cell lymphoma.
Primary extranodal non-Hodgkin lymphomas of the uterine corpus and vagina are extremely uncommon. Often underdiagnosed because of both unexpected sites and clinical resemblance with other more common gynecological malignancies. Primary extranodal non-Hodgkin lymphomas of the uterine corpus and vagina completely differ from other gynecological malignancies in the management and prognosis; hence, diagnosis becomes crucial. High levels of clinical suspicion, advanced imaging, laboratory facilities, and immunohistochemical analysis may help in early diagnosis and management of the disease.
Hochberg J, Flower A, Brugieres L, et al. NHL in adolescents and young adults: A unique population. Pediatr Blood Cancer 2018;65(8):e27073. DOI: 10.1002/pbc.27073.
Hariprasad R, Kumar L, Bhatla DMN, et al. Primary uterine lymphoma: Report of 2 cases and review of literature. Am J Obstet Gynecol 2006;195(1):308–313. DOI: 10.1016/j.ajog.2006.04.002.
Wright DH. Pathology of extra-nodal non Hodgkin lymphomas. Clin Oncol (R Coll Radiol) 2012;24(5):319–328. DOI: 10.1016/j.clon.2012.02.004.
Desana B, Balbo Mussetto A, Macera A, et al. Rare case of uterine cervix lymphoma with spontaneous regression: Case report. J Obstet Gynaecol Res 2021;47(2):807–811. DOI: 10.1111/jog.14562.
Cohn DE, Resnick KE, Eaton LA, et al. Non-Hodgkin's lymphoma mimicking gynecological malignancies of the vagina and cervix: A report of four cases. Int J Gynecol Cancer 2007;17(1):274–279. DOI: 10.1111/j.1525-1438.2006.00747.x.
Matutes E, Barton DP, McCarthy Ket al. Teaching cases from the Royal Marsden and St Mary's Hospitals. Case 15: Uterine mass in an asymptomatic female. Leuk Lymphoma 1998;28(5–6):627–630. DOI: 10.3109/10428199809058376.
Padhi S, Paul TR, Challa S, et al. Primary extra nodal non Hodgkin lymphoma: A 5 year retrospective analysis. Asian Pac J Cancer Prev 2012;13(10):4889–4895. DOI: 10.7314/apjcp.2012.13.10.4889.
Xia Y, Wang Y, Jiang Y, et al. Primary intravascular large B cell lymphoma of the endometrium. Acta Histochem 2014;116(5): 993–996. DOI: 10.1016/j.acthis.2013.12.001.
Agrawal A, Ofili G, Allan TL, et al. Malignant lymphoma of uterus: A case report with a review of the literature. Aust N Z J Obstet Gynaecol 2000;40(3):358–360. DOI: 10.1111/j.1479-828x.2000.tb03353.x.
Kendrick JE, Straughn JM. Two cases of non-Hodgkin's lymphoma presenting as primary gynecologic malignancies. Gynecol Oncol 2005;98(3):490–492. DOI: 10.1016/j.ygyno.2005.04.033.