Primary Ovarian Lymphoma: A Rare Entity

Amit Rauniyar,Sarbagya Pandit,Shradha Pandit,Swoyam Prakash Pandit

doi:10.3126/njr.v9i2.27430

Abstract

Primary ovarian lymphoma (POL) refers to involvement of the ovary with lymphoma but without the involvement of any other site. It is an extremely rare yet well-recognized condition. We present to you a case of 25 year old female who presented with abdominal distension and mild lower abdominal pain for 4 weeks diagnosed radiologically and pathologically as primary ovarian lymphoma.

Highlights

Primary ovarian lymphoma is a rare condition of ovary, diffuse B-cell type is most common histological subtype of POL in adults & Burkitt’s lymphoma, the second common
A 25 year old female presented with abdominal distension and mild lower abdominal pain for 4 weeks
Chein JC et al.[3] in their study on primary ovarian lymphoma reported CA-125 level of 1366 U/ml3 & mean level of 1111U /ml[3] but in our case, it is in lower side 839 U/ml[3]

Summary

INTRODUCTION

Primary ovarian lymphoma is a rare condition of ovary, diffuse B-cell type is most common histological subtype of POL in adults & Burkitt’s lymphoma, the second common. Pandit SP et al Primary Ovarian Lymphoma malignancy was present Her hematological, bio-chemical and serological tests were within normal limits. Serum B-HCG and Serum LDH were within normal limits Her ultrasonography showed large 12x11cm size hypoechoic solid mass in right side of pelvis with moderate ascites. Computed tomography(CT) of Chest, abdomen & pelvis was done and showed well defined moderately enhancing mass of 11.8x10.7cm size in right side of pelvic cavity with retroperitoneal lymph nodes and ascites. CT pelvis showed large well defined moderately enhancing mass in right ovary with encasement of right gonadal vessels (Figure 1) and displaced multiple cysts in peripheral aspect of mass in right ovary (Figure 2) & diagnosis of malignant right ovarian mass likely Germ cell tumor was made.

Findings

DISCUSSION

CONCLUSION