Pelvic Lymphomas in the Differential Diagnosis of Gynecological Diseases: 10 Years of Experience of the Tertiary Center.

Abstract

It was aimed to raise awareness about pelvic lymphoma among gynecologists by evaluating and sharing the clinical features of 12 patients diagnosed with pelvic lymphoma in the obstetrics and gynecology clinic of Eskisehir Osmangazi university.The clinicopathological data of 12 patients who were presented to our clinics with gynecological complaints and diagnosed with lymphoma between 2010 and 2020 were analyzed retrospectively from their files.In our study, extranodal primary pelvic lymphoma was detected in ten patients, while nodal lymphoma was diagnosed in two patients. The most common histological lymphoma type detected in patients was diffuse large B-cell lymphoma seen in ten patients (83.3%). It was the cervical involvement that was most commonly observed in four patients (33.3%) with primary pelvic lymphoma. Total abdominal hysterectomy was performed as a gynecological surgical procedure in two patients, while a staging surgical procedure was performed in addition to total abdominal hysterectomy in five patients. Frozen pathology method was used in only four of the patients who underwent surgical procedure. While the diagnosis of lymphoma was made by minimally invasive tissue biopsy in five patients (41.6%), it could be made after surgery in seven patients (58.3%).Keeping pelvic lymphomas in mind in the differential diagnosis of patients who are evaluated with non-specific gynecological complaints and a preliminary diagnosis of pelvic mass may prevent some unnecessary extensive oncological surgeries. Increasing awareness of pelvic lymphoma among gynecologists can help prevent delays in diagnosis and treatment