Cargando…
Vaginal Lymphoma with Immune Thrombocytopenic Purpura: An Unusual Case Report
The female genital tract is rarely the initial site of presentation in lymphoma or leukemia. We report a case of non-Hodgkin's lymphoma (NHL) presenting initially in the vagina. The patient, a 75-year-old woman, had a history of immune thrombocytopenic purpura (ITP). She presented with a chief...
Autores principales: | , , , , , , , , , , |
---|---|
Formato: | Texto |
Lenguaje: | English |
Publicado: |
S. Karger AG
2010
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2992428/ https://www.ncbi.nlm.nih.gov/pubmed/21113350 http://dx.doi.org/10.1159/000289447 |
_version_ | 1782192739293593600 |
---|---|
author | Ikuta, Akiko Tanaka, Yoshiaki Tsuzuki, Tomoko Tsuji, Shoko Sumi, Genichiro Mizokami, Tomomi Sugimoto, Hisahide Shikata, Nobuaki Yasuda, Katsuhiko Horikoshi, Yorihiko Kanzaki, Hideharu |
author_facet | Ikuta, Akiko Tanaka, Yoshiaki Tsuzuki, Tomoko Tsuji, Shoko Sumi, Genichiro Mizokami, Tomomi Sugimoto, Hisahide Shikata, Nobuaki Yasuda, Katsuhiko Horikoshi, Yorihiko Kanzaki, Hideharu |
author_sort | Ikuta, Akiko |
collection | PubMed |
description | The female genital tract is rarely the initial site of presentation in lymphoma or leukemia. We report a case of non-Hodgkin's lymphoma (NHL) presenting initially in the vagina. The patient, a 75-year-old woman, had a history of immune thrombocytopenic purpura (ITP). She presented with a chief complaint of genital bleeding and introital pain. On transvaginal ultrasonography, a vaginal tumor with an irregular wall was detected, and the internal echo showed a hypoechoic and echogenic pattern. Ultrasonography and magnetic resonance imaging (MRI) suggested that the vaginal tumor was likely to be a hematoma or a hemorrhagic tumor arising from ITP. Incision and resection for a hematoma or a hemorrhagic tumor were carried out in response to genital bleeding, introital pain, and pathological diagnosis. Postoperative microscopic examination confirmed that the tumor was a vaginal NHL. The final diagnosis using the Ann Arbor staging system was high-stage (stage IV) NHL. The patient received chemotherapy, and she remains in remission for 42 months after treatment. |
format | Text |
id | pubmed-2992428 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | S. Karger AG |
record_format | MEDLINE/PubMed |
spelling | pubmed-29924282010-11-26 Vaginal Lymphoma with Immune Thrombocytopenic Purpura: An Unusual Case Report Ikuta, Akiko Tanaka, Yoshiaki Tsuzuki, Tomoko Tsuji, Shoko Sumi, Genichiro Mizokami, Tomomi Sugimoto, Hisahide Shikata, Nobuaki Yasuda, Katsuhiko Horikoshi, Yorihiko Kanzaki, Hideharu Case Rep Oncol Published: November 2010 The female genital tract is rarely the initial site of presentation in lymphoma or leukemia. We report a case of non-Hodgkin's lymphoma (NHL) presenting initially in the vagina. The patient, a 75-year-old woman, had a history of immune thrombocytopenic purpura (ITP). She presented with a chief complaint of genital bleeding and introital pain. On transvaginal ultrasonography, a vaginal tumor with an irregular wall was detected, and the internal echo showed a hypoechoic and echogenic pattern. Ultrasonography and magnetic resonance imaging (MRI) suggested that the vaginal tumor was likely to be a hematoma or a hemorrhagic tumor arising from ITP. Incision and resection for a hematoma or a hemorrhagic tumor were carried out in response to genital bleeding, introital pain, and pathological diagnosis. Postoperative microscopic examination confirmed that the tumor was a vaginal NHL. The final diagnosis using the Ann Arbor staging system was high-stage (stage IV) NHL. The patient received chemotherapy, and she remains in remission for 42 months after treatment. S. Karger AG 2010-11-08 /pmc/articles/PMC2992428/ /pubmed/21113350 http://dx.doi.org/10.1159/000289447 Text en Copyright © 2010 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial-No-Derivative-Works License (http://creativecommons.org/licenses/by-nc-nd/3.0/). Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on http://www.karger.com and the terms of this license are included in any shared versions. |
spellingShingle | Published: November 2010 Ikuta, Akiko Tanaka, Yoshiaki Tsuzuki, Tomoko Tsuji, Shoko Sumi, Genichiro Mizokami, Tomomi Sugimoto, Hisahide Shikata, Nobuaki Yasuda, Katsuhiko Horikoshi, Yorihiko Kanzaki, Hideharu Vaginal Lymphoma with Immune Thrombocytopenic Purpura: An Unusual Case Report |
title | Vaginal Lymphoma with Immune Thrombocytopenic Purpura: An Unusual Case Report |
title_full | Vaginal Lymphoma with Immune Thrombocytopenic Purpura: An Unusual Case Report |
title_fullStr | Vaginal Lymphoma with Immune Thrombocytopenic Purpura: An Unusual Case Report |
title_full_unstemmed | Vaginal Lymphoma with Immune Thrombocytopenic Purpura: An Unusual Case Report |
title_short | Vaginal Lymphoma with Immune Thrombocytopenic Purpura: An Unusual Case Report |
title_sort | vaginal lymphoma with immune thrombocytopenic purpura: an unusual case report |
topic | Published: November 2010 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2992428/ https://www.ncbi.nlm.nih.gov/pubmed/21113350 http://dx.doi.org/10.1159/000289447 |
work_keys_str_mv | AT ikutaakiko vaginallymphomawithimmunethrombocytopenicpurpuraanunusualcasereport AT tanakayoshiaki vaginallymphomawithimmunethrombocytopenicpurpuraanunusualcasereport AT tsuzukitomoko vaginallymphomawithimmunethrombocytopenicpurpuraanunusualcasereport AT tsujishoko vaginallymphomawithimmunethrombocytopenicpurpuraanunusualcasereport AT sumigenichiro vaginallymphomawithimmunethrombocytopenicpurpuraanunusualcasereport AT mizokamitomomi vaginallymphomawithimmunethrombocytopenicpurpuraanunusualcasereport AT sugimotohisahide vaginallymphomawithimmunethrombocytopenicpurpuraanunusualcasereport AT shikatanobuaki vaginallymphomawithimmunethrombocytopenicpurpuraanunusualcasereport AT yasudakatsuhiko vaginallymphomawithimmunethrombocytopenicpurpuraanunusualcasereport AT horikoshiyorihiko vaginallymphomawithimmunethrombocytopenicpurpuraanunusualcasereport AT kanzakihideharu vaginallymphomawithimmunethrombocytopenicpurpuraanunusualcasereport |