Abstract
The involvement of the ovary in lymphomatous processes is rare. However, in the female genital tract, the ovary is a frequent site to be involved by the hematological malignancies. Involvement of the ovary by malignant lymphoma can be primary or secondary and is discovered incidentally during a workup for abdominal or pelvic complaints. Most commonly occurring ovarian lymphoma is diffuse large B cell type, whereas the Precursor B Cell Lymphoblastic Lymphomas are extremely rare and previously only 5 cases have been reported. Here, we report a case of clinically suspected malignant ovarian tumor involving bilateral ovaries, which was diagnosed as a primary precursor B-LBL after surgery in a young female. This case highlights the need for careful evaluation of radiologic and morphologic features along with an extensive immunohistochemical panel to arrive at the correct final diagnosis to guide the chemotherapy. Keywords: Non-Hodgkin Lymphoma; Primary Ovarian Precursor B-Cell Lymphoblastic Lymphoma; Primary ovarian lymphoma; Primary ovarian tumors
Highlights
Lymphomas presenting as ovarian tumors are uncommon and may occur de novo or secondary as a part of systemic disease
The patient underwent exploratory laparotomy and intraoperative frozen section of right ovary was suggestive of malignant ovarian neoplasm with a differential diagnosis of small cell carcinoma and Non Hodgkin Lymphoma (NHL)
(7) The histogenesis of primary ovarian NHL is perplexing, as the normal ovaries are devoid of any lymphoid tissue
Summary
Rare ovarian neoplasm: Primary precursor B-cell Lymphoblastic Lymphoma involving bilateral ovaries
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