A Case of Primary Ovarian Lymphoma Presenting as a Rectal Submucosal Tumor.
10.3393/jksc.2012.28.2.111
- Author:
Il Soon JUNG
1
;
Seul Young KIM
;
Kyu Seup KIM
;
Kwang Hun KO
;
Jae Kyu SUNG
;
Hyun Young JEONG
;
Ji Yeoun KIM
;
Hee Seok MOON
Author Information
1. Department of Internal Medicine, Chungnam National University School of Medicine, Daejeon, Korea. mhs1357@hanmail.net
- Publication Type:Case Report
- Keywords:
Primary ovarian lymphoma;
Rectum;
Submucosal tumor;
Defecation disturbance
- MeSH:
Adult;
Colonoscopy;
Defecation;
Female;
Humans;
Lymph Nodes;
Lymphoma;
Lymphoma, B-Cell;
Magnetic Resonance Imaging;
Rectum;
Vincristine
- From:Journal of the Korean Society of Coloproctology
2012;28(2):111-115
- CountryRepublic of Korea
- Language:English
-
Abstract:
Primary ovarian lymphoma is a rare malignancy whose symptoms or signs are usually nonspecific. In this article, we report a very rare case initially presenting as a rectal submucosal-tumor-like lesion with a defecation disturbance caused by primary ovarian lymphoma with bilateral involvement. A 42-year-old woman visited chungnam national university hospital complaining of persistent defecation disturbance for 6 months. Colonoscopy demonstrated compression of the rectum by an extrinsic mass mimicking a rectal submucosal tumor. Magnetic resonance imaging detected bilateral ovarian tumors, 9.3 cm and 5.4 cm each in diameter, compressing the rectum without enlarged lymph nodes. The diagnosis was established following a bilateral adnexectomy and histological studies of the excised tissue. The tumor was classified as a diffuse large B-cell lymphoma. The patient was prescribed six cycles of standard CHOP (cyclophosphamide, hydroxydaunorubicin, vincristine, prednisolone) regimen and is presently on treatment.
